MII IG Medikation v2025

MedicationStatement

Das MedicationStatement dokumentiert die Verordnung eines Arzneimittels oder den Konsum durch einen Patienten. MedicationStatement KANN anzeigen, dass der Patient ein Medikament zur Zeit einnimmt, in der Vergangenheit genommen hat oder in Zukunft einnehmen wird. Dabei KANN es sich sowohl um verschreibungspflichtige Medikamente handeln, wie auch um OTC-Präparate, welche ein Patient in Eigenverantwortung einnimmt.

Der Hauptunterschied zwischen der konkreten Verabreichung einer Medikation (MedicationAdministration) und dem MedicationStatement besteht darin, dass die Medikamentenverabreichung über vollständige Verabreichungsinformationen verfügt und auf den tatsächlichen Informationen der Person basiert, die das Medikament verabreicht hat. MedicationStatement hat im Vergleich eher den Charakter z.B. eines Medikationsplans. Es ist nicht klar, ob der Patient diese Arzneimittel tatsächlich eingenommen hat oder diese verabreicht wurden.

Name	Status	Version	Lizenz	Canonical	Basis
MII_PR_Medikation_MedicationStatement	active	2025.0.0	CC-BY-4.0	https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationStatement	http://hl7.org/fhir/StructureDefinition/MedicationStatement

Inhalt

MII_PR_Medikation_MedicationStatement (MedicationStatement)	I		MedicationStatement	There are no (further) constraints on this element Element id MedicationStatement Short description Record of medication being taken by a patient Definition A record of a medication that is being consumed by a patient. A MedicationStatement may indicate that the patient may be taking the medication now or has taken the medication in the past or will be taking the medication in the future. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay. The medication information may come from sources such as the patient's memory, from a prescription bottle, or from a list of medications the patient, clinician or other party maintains. The primary difference between a medication statement and a medication administration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication. A medication statement is often, if not always, less specific. There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise. As stated earlier, the medication statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains. Medication administration is more formal and is not missing detailed information. Comments When interpreting a medicationStatement, the value of the status and NotTaken needed to be considered: MedicationStatement.status + MedicationStatement.wasNotTaken Status=Active + NotTaken=T = Not currently taking Status=Completed + NotTaken=T = Not taken in the past Status=Intended + NotTaken=T = No intention of taking Status=Active + NotTaken=F = Taking, but not as prescribed Status=Active + NotTaken=F = Taking Status=Intended +NotTaken= F = Will be taking (not started) Status=Completed + NotTaken=F = Taken in past Status=In Error + NotTaken=N/A = In Error. Data type MedicationStatement Constraints dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-6: A resource should have narrative for robust management text.`div`.exists() dom-5: If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` Mappings rim: Entity. Role, or Act workflow: Event rim: SubstanceAdministration
id	S Σ	0..1	string	There are no (further) constraints on this element Element id MedicationStatement.id Short description Logical id of this artifact Definition The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. Comments The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Data type string
meta	S Σ	0..1	Meta	There are no (further) constraints on this element Element id MedicationStatement.meta Short description Metadata about the resource Definition The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. Data type Meta Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
id		0..1	string	There are no (further) constraints on this element Element id MedicationStatement.meta.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.meta.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
versionId	Σ	0..1	id	There are no (further) constraints on this element Element id MedicationStatement.meta.versionId Short description Version specific identifier Definition The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. Comments The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes. Data type id Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
lastUpdated	Σ	0..1	instant	There are no (further) constraints on this element Element id MedicationStatement.meta.lastUpdated Short description When the resource version last changed Definition When the resource last changed - e.g. when the version changed. Comments This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction. Data type instant Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
source	S Σ	0..1	uri	There are no (further) constraints on this element Element id MedicationStatement.meta.source Short description Identifies where the resource comes from Definition A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. Comments In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
profile	S Σ	0..*	canonical(StructureDefinition)	There are no (further) constraints on this element Element id MedicationStatement.meta.profile Short description Profiles this resource claims to conform to Definition A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. Comments It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. Data type canonical(StructureDefinition) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
security	Σ	0..*	CodingBinding	There are no (further) constraints on this element Element id MedicationStatement.meta.security Short description Security Labels applied to this resource Definition Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. Comments The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. Data type Coding Binding Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding
tag	Σ	0..*	Coding	There are no (further) constraints on this element Element id MedicationStatement.meta.tag Short description Tags applied to this resource Definition Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. Comments The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. Data type Coding Binding Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding
implicitRules	Σ ?!	0..1	uri	There are no (further) constraints on this element Element id MedicationStatement.implicitRules Short description A set of rules under which this content was created Definition A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Comments Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
language		0..1	codeBinding	There are no (further) constraints on this element Element id MedicationStatement.language Short description Language of the resource content Definition The base language in which the resource is written. Comments Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). Data type code Binding A human language. CommonLanguages (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
text		0..1	Narrative	There are no (further) constraints on this element Element id MedicationStatement.text Short description Text summary of the resource, for human interpretation Alternate names narrative, html, xhtml, display Definition A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Comments Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. Data type Narrative Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A rim: Act.text?
contained		0..*	Resource	There are no (further) constraints on this element Element id MedicationStatement.contained Short description Contained, inline Resources Alternate names inline resources, anonymous resources, contained resources Definition These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. Comments This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. Data type Resource Mappings rim: Entity. Role, or Act rim: N/A
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
modifierExtension	?! I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.modifierExtension Short description Extensions that cannot be ignored Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
identifier	S Σ	0..*	Identifier	Element id MedicationStatement.identifier Short description Identifikator Definition Ein Identifikator für den Medikationseintrag Comments This is a business identifier, not a resource identifier. Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CX / EI (occasionally, more often EI maps to a resource id or a URL) rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd: Identifier workflow: Event.identifier w5: FiveWs.identifier rim: .id
basedOn	S Σ I	0..*	Reference(MedicationRequest \| CarePlan \| ServiceRequest)	Element id MedicationStatement.basedOn Short description Basiert auf Definition Ein Plan oder eine Anforderung, die durch den Medikationseintrag erfüllt wird. Requirements Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(MedicationRequest \| CarePlan \| ServiceRequest) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Event.basedOn rim: .outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP]
partOf	S Σ I	0..*	Reference(MedicationAdministration \| MedicationDispense \| MedicationStatement \| Procedure \| Observation)	Element id MedicationStatement.partOf Short description Teil von Definition Ein größeres Ereignis, von dem dieses spezielle Ereignis ein Bestandteil oder Schritt ist. Requirements This should not be used when indicating which resource a MedicationStatement has been derived from. If that is the use case, then MedicationStatement.derivedFrom should be used. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(MedicationAdministration \| MedicationDispense \| MedicationStatement \| Procedure \| Observation) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Event.partOf rim: .outboundRelationship[typeCode=COMP]/target[classCode=SPLY or SBADM or PROC or OBS,moodCode=EVN]
status	S Σ ?!	1..1	codeBinding	Element id MedicationStatement.status Short description Status Definition aktiv \| abgeschlossen \| Eingabe fehlerhaft \| intendiert \| gestoppt \| pausiert \| unbekannt\| nicht eingenommen Comments MedicationStatement is a statement at a point in time. The status is only representative at the point when it was asserted. The value set for MedicationStatement.status contains codes that assert the status of the use of the medication by the patient (for example, stopped or on hold) as well as codes that assert the status of the medication statement itself (for example, entered in error). This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. Data type code Binding A coded concept indicating the current status of a MedicationStatement. Medication Status Codes (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Event.status w5: FiveWs.status rim: .statusCode
statusReason		0..*	CodeableConcept	There are no (further) constraints on this element Element id MedicationStatement.statusReason Short description Reason for current status Definition Captures the reason for the current state of the MedicationStatement. Comments This is generally only used for "exception" statuses such as "not-taken", "on-hold", "cancelled" or "entered-in-error". The reason for performing the event at all is captured in reasonCode, not here. Data type CodeableConcept Binding A coded concept indicating the reason for the status of the statement. SNOMEDCTDrugTherapyStatusCodes (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD workflow: Event.statusReason rim: .inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde
category	S Σ	0..1	CodeableConceptBinding	Element id MedicationStatement.category Short description Kategorie Definition Eine Kategorie, die dem Medikationseintrag zugeordnet ist. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. Medication usage category codes (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD w5: FiveWs.class rim: .inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication usage"].value
id		0..1	string	There are no (further) constraints on this element Element id MedicationStatement.category.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.category.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
coding	Σ	0..*	Coding	Element id MedicationStatement.category.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data type Coding Sliced: Unordered, Open, by $this(Pattern) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
usageCategory	Σ	0..*	CodingBindingPattern	Element id MedicationStatement.category.coding:usageCategory Short description Kategorie Anwendungsbereich Definition Kategorie, die den Anwendungsbereich des Medikationseintrags beschreibt. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data type Coding Binding Medication usage category codes (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "system": "http://terminology.hl7.org/CodeSystem/medication-statement-category" } Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
contextCode	Σ	0..1	CodingBindingPattern	Element id MedicationStatement.category.coding:contextCode Short description Kategorie Kontext Definition ambulanter Kontakt \| stationärer Aufenthalt \| stationäre Aufnahme \| stationäre Entlassung Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data type Coding Binding MII_VS_Medikation_Fallkontext (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "system": "http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung" } Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
text	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationStatement.category.text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
medication[x]	S Σ	1..1		Element id MedicationStatement.medication[x] Short description Medikation Definition Das Medikament, welches Gegenstand des Eintrags ist. Code oder Referenz auf Medication-Objekt. Comments If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource. Sliced: Unordered, Open, by $this(Type) Binding A coded concept identifying the substance or product being taken. SNOMEDCTMedicationCodes (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Event.code w5: FiveWs.what[x] rim: .participation[typeCode=CSM].role[classCode=ADMM or MANU]
medicationReference	S Σ	0..1	Reference(MII_PR_Medikation_Medication)	Element id MedicationStatement.medication[x]:medicationReference Short description Medikation Referenz Definition Referenz auf ein Medication-Ressource. Comments If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource. Data type Reference(MII_PR_Medikation_Medication) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Event.code w5: FiveWs.what[x] rim: .participation[typeCode=CSM].role[classCode=ADMM or MANU]
medicationCodeableConcept	S Σ	0..1	CodeableConcept	Element id MedicationStatement.medication[x]:medicationCodeableConcept Short description Medikation Code Definition Code für das Medikament, welches Gegenstand des Eintrags ist. Comments If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource. Data type CodeableConcept Binding A coded concept identifying the substance or product being taken. SNOMEDCTMedicationCodes (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Event.code w5: FiveWs.what[x] rim: .participation[typeCode=CSM].role[classCode=ADMM or MANU]
id		0..1	string	There are no (further) constraints on this element Element id MedicationStatement.medication[x]:medicationCodeableConcept.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.medication[x]:medicationCodeableConcept.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
coding	S Σ	0..*	Coding	Element id MedicationStatement.medication[x]:medicationCodeableConcept.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data type Coding Sliced: Unordered, Open, by $this(Pattern) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
Pharmazentralnummer	S Σ	0..*	CodingBindingPattern	Element id MedicationStatement.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer Short description PZN Code Definition Ein Verweis auf einen von der Pharmazentralnummer (PZN) definierten Code Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data type Coding Binding PZN (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "system": "http://fhir.de/CodeSystem/ifa/pzn" } Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id MedicationStatement.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
system	S Σ	1..1	uriPattern	There are no (further) constraints on this element Element id MedicationStatement.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://fhir.de/CodeSystem/ifa/pzn Mappings rim: n/a v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationStatement.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element id MedicationStatement.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationStatement.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id MedicationStatement.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
atcClassDe	S Σ	0..*	CodingBindingPattern	Element id MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe Short description ATC Klassifikation deutsche Version Definition ATC-Codes für Fertigarzneimittel bspw. von Kombiprodukten Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data type Coding Binding ATC (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "system": "http://fhir.de/CodeSystem/bfarm/atc" } Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
system	S Σ	1..1	uriPattern	There are no (further) constraints on this element Element id MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://fhir.de/CodeSystem/bfarm/atc Mappings rim: n/a v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element id MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
atcClassEn	S Σ	0..*	CodingPattern	Element id MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassEn Short description Anatomical Therapeutic Chemical Classification System Definition ATC Classification International WHO Version Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data type Coding Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "system": "http://www.whocc.no/atc" } Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassEn.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassEn.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
system	S Σ	1..1	uriPattern	There are no (further) constraints on this element Element id MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassEn.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://www.whocc.no/atc Mappings rim: n/a v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassEn.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element id MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassEn.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassEn.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassEn.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	S Σ	0..1	string	There are no (further) constraints on this element Element id MedicationStatement.medication[x]:medicationCodeableConcept.text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
subject	S Σ I	1..1	Reference(Patient \| Group)	There are no (further) constraints on this element Element id MedicationStatement.subject Short description Who is/was taking the medication Definition The person, animal or group who is/was taking the medication. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(Patient \| Group) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Event.subject w5: FiveWs.subject[x] v2: PID-3-Patient ID List rim: .participation[typeCode=SBJ].role[classCode=PAT] w5: FiveWs.subject
context	S Σ I	0..1	Reference(Encounter \| EpisodeOfCare)	Element id MedicationStatement.context Short description Kontext Definition Fall oder Kontakt in Verbindung mit dem Medikationseintrag Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(Encounter \| EpisodeOfCare) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Event.context rim: .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code="type of encounter or episode"]
effective[x]	S Σ	1..1		Element id MedicationStatement.effective[x] Short description Zeitpunkt oder Zeitraum Definition Die Zeitspanne, in der angegeben wird, dass der Patient das Medikament eingenommen hat oder einnehmen wird. Comments This attribute reflects the period over which the patient consumed the medication and is expected to be populated on the majority of Medication Statements. If the medication is still being taken at the time the statement is recorded, the "end" date will be omitted. The date/time attribute supports a variety of dates - year, year/month and exact date. If something more than this is required, this should be conveyed as text. Sliced: Unordered, Open, by $this(Type) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Event.occurrence[x] w5: FiveWs.done[x] rim: .effectiveTime
effectiveDateTime	S Σ	0..1	dateTime	Element id MedicationStatement.effective[x]:effectiveDateTime Short description Zeitpunkt Definition Der Zeitpunkt, an dem der Patient das Medikament eingenommen hat oder einnehmen wird. Comments This attribute reflects the period over which the patient consumed the medication and is expected to be populated on the majority of Medication Statements. If the medication is still being taken at the time the statement is recorded, the "end" date will be omitted. The date/time attribute supports a variety of dates - year, year/month and exact date. If something more than this is required, this should be conveyed as text. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Event.occurrence[x] w5: FiveWs.done[x] rim: .effectiveTime
effectivePeriod	S Σ	0..1	Period	Element id MedicationStatement.effective[x]:effectivePeriod Short description Zeitraum Definition Der Zeitraum, in dem der Patient das Medikament eingenommen hat oder einnehmen wird. Comments This attribute reflects the period over which the patient consumed the medication and is expected to be populated on the majority of Medication Statements. If the medication is still being taken at the time the statement is recorded, the "end" date will be omitted. The date/time attribute supports a variety of dates - year, year/month and exact date. If something more than this is required, this should be conveyed as text. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Event.occurrence[x] w5: FiveWs.done[x] rim: .effectiveTime
dateAsserted	S Σ	0..1	dateTime	Element id MedicationStatement.dateAsserted Short description Datum Bestätigung Definition Das Datum, an dem der Medikationseintrag von der Informationsquelle bestätigt wurde. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a w5: FiveWs.recorded rim: .participation[typeCode=AUT].time
informationSource	S I	0..1	Reference(Patient \| Practitioner \| PractitionerRole \| RelatedPerson \| Organization)	Element id MedicationStatement.informationSource Short description Informationsquelle Definition Die Person oder Organisation, die die Information über die Einnahme dieses Medikaments bereitgestellt hat. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(Patient \| Practitioner \| PractitionerRole \| RelatedPerson \| Organization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5: FiveWs.source rim: .participation[typeCode=INF].role[classCode=PAT, or codes for Practioner or Related Person (if PAT is the informer, then syntax for self-reported =true)
derivedFrom	I	0..*	Reference(Resource)	There are no (further) constraints on this element Element id MedicationStatement.derivedFrom Short description Additional supporting information Definition Allows linking the MedicationStatement to the underlying MedicationRequest, or to other information that supports or is used to derive the MedicationStatement. Comments Likely references would be to MedicationRequest, MedicationDispense, Claim, Observation or QuestionnaireAnswers. The most common use cases for deriving a MedicationStatement comes from creating a MedicationStatement from a MedicationRequest or from a lab observation or a claim. it should be noted that the amount of information that is available varies from the type resource that you derive the MedicationStatement from. Data type Reference(Resource) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) rim: .outboundRelationship[typeCode=SPRT]/target[classCode=ACT,moodCode=EVN]
reasonCode	S	0..*	CodeableConcept	Element id MedicationStatement.reasonCode Short description Grund Code Definition Grund für den Medikationseintrag als Code. Comments This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonForUseReference. Data type CodeableConcept Binding A coded concept identifying why the medication is being taken. Condition/Problem/DiagnosisCodes (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD workflow: Event.reasonCode w5: FiveWs.why[x] rim: .reasonCode
reasonReference	S I	0..*	Reference(Condition \| Observation \| DiagnosticReport)	Element id MedicationStatement.reasonReference Short description Grund Referenz Definition Grund für den Medikationseintrag als Referenz auf Condition- oder Observation-Ressource. Comments This is a reference to a condition that is the reason why the medication is being/was taken. If only a code exists, use reasonForUseCode. Data type Reference(Condition \| Observation \| DiagnosticReport) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Event.reasonReference w5: FiveWs.why[x] rim: .outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code="reason for use"].value
note	S	0..*	Annotation	Element id MedicationStatement.note Short description Hinweis Definition Zusätzliche Informationen zum Medikationseintrag als Freitext. Comments For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible). Data type Annotation Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: N/A rim: Act workflow: Event.note rim: .inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code="annotation"].value
dosage	S I	0..*	Dosage	Element id MedicationStatement.dosage Short description Dosierung Definition Details zur Dosierung des Medikamentes. Comments The dates included in the dosage on a Medication Statement reflect the dates for a given dose. For example, "from November 1, 2016 to November 3, 2016, take one tablet daily and from November 4, 2016 to November 7, 2016, take two tablets daily." It is expected that this specificity may only be populated where the patient brings in their labeled container or where the Medication Statement is derived from a MedicationRequest. Data type Dosage Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` dsg-1: If present, dosage must include free text or structured data `text.exists() or doseAndRate.exists()` Mappings rim: n/a rim: .outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=INT] rim: refer dosageInstruction mapping
id		0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.dosage.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.dosage.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
sequence	S Σ	0..1	integer	There are no (further) constraints on this element Element id MedicationStatement.dosage.sequence Short description The order of the dosage instructions Definition Indicates the order in which the dosage instructions should be applied or interpreted. Requirements If the sequence number of multiple Dosages is the same, then it is implied that the instructions are to be treated as concurrent. If the sequence number is different, then the Dosages are intended to be sequential. Comments 32 bit number; for values larger than this, use decimal Data type integer Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: TQ1-1 rim: .text
text	S Σ	0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.text Short description Free text dosage instructions e.g. SIG Definition Free text dosage instructions e.g. SIG. Requirements Free text dosage instructions can be used for cases where the instructions are too complex to code. The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated. If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing. Additional information about administration or preparation of the medication should be included as text. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: RXO-6; RXE-21 rim: .text
additionalInstruction	Σ	0..*	CodeableConcept	There are no (further) constraints on this element Element id MedicationStatement.dosage.additionalInstruction Short description Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Definition Supplemental instructions to the patient on how to take the medication (e.g. "with meals" or"take half to one hour before food") or warnings for the patient about the medication (e.g. "may cause drowsiness" or "avoid exposure of skin to direct sunlight or sunlamps"). Requirements Additional instruction is intended to be coded, but where no code exists, the element could include text. For example, "Swallow with plenty of water" which might or might not be coded. Comments Information about administration or preparation of the medication (e.g. "infuse as rapidly as possibly via intraperitoneal port" or "immediately following drug x") should be populated in dosage.text. Data type CodeableConcept Binding A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". SNOMEDCTAdditionalDosageInstructions (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD v2: RXO-7 rim: .text
patientInstruction	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.patientInstruction Short description Patient or consumer oriented instructions Definition Instructions in terms that are understood by the patient or consumer. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: RXO-7 rim: .text
timing	S Σ	0..1	Timing	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing Short description When medication should be administered Definition When medication should be administered. Requirements The timing schedule for giving the medication to the patient. This data type allows many different expressions. For example: "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. Comments This attribute might not always be populated while the Dosage.text is expected to be populated. If both are populated, then the Dosage.text should reflect the content of the Dosage.timing. Data type Timing Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: N/A rim: QSET<TS> (GTS) rim: .effectiveTime
id		0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
event	S Σ	0..*	dateTime	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.event Short description When the event occurs Definition Identifies specific times when the event occurs. Requirements In a Medication Administration Record, for instance, you need to take a general specification, and turn it into a precise specification. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: QLIST<TS>
repeat	S Σ I	0..1	Element	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat Short description When the event is to occur Definition A set of rules that describe when the event is scheduled. Requirements Many timing schedules are determined by regular repetitions. Data type Element Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) `offset.empty() or (when.exists() and ((when in ('C' \| 'CM' \| 'CD' \| 'CV')).not()))` tim-5: period SHALL be a non-negative value `period.exists() implies period >= 0` tim-6: If there's a periodMax, there must be a period `periodMax.empty() or period.exists()` tim-7: If there's a durationMax, there must be a duration `durationMax.empty() or duration.exists()` tim-8: If there's a countMax, there must be a count `countMax.empty() or count.exists()` tim-1: if there's a duration, there needs to be duration units `duration.empty() or durationUnit.exists()` tim-10: If there's a timeOfDay, there cannot be a when, or vice versa `timeOfDay.empty() or when.empty()` tim-2: if there's a period, there needs to be period units `period.empty() or periodUnit.exists()` tim-4: duration SHALL be a non-negative value `duration.exists() implies duration >= 0` Mappings rim: n/a rim: Implies PIVL or EIVL
id		0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
bounds[x]	Σ	0..1		Element id MedicationStatement.dosage.timing.repeat.bounds[x] Short description Length/Range of lengths, or (Start and/or end) limits Definition Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule. Sliced: Unordered, Open, by $this(Type) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: IVL(TS) used in a QSI
boundsDuration	S Σ	0..1	DurationPattern	Element id MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration Short description Length/Range of lengths, or (Start and/or end) limits Definition Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule. Data type Duration Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "system": "http://unitsofmeasure.org" } Mappings rim: n/a rim: IVL(TS) used in a QSI
id		0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
value	S Σ	1..1	decimal	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.value Short description Numerical value (with implicit precision) Definition The value of the measured amount. The value includes an implicit precision in the presentation of the value. Requirements Precision is handled implicitly in almost all cases of measurement. Comments The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
comparator	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.comparator Short description < \| <= \| >= \| > - how to understand the value Definition How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Meaning when missing If there is no comparator, then there is no modification of the value Data type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: SN.1 / CQ.1 rim: IVL properties
unit	S Σ	0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
system	S Σ I	1..1	uriPattern	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Comments see http://en.wikipedia.org/wiki/Uniform_resource_identifier Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://unitsofmeasure.org Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
code	S Σ	1..1	code	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code
boundsRange	S Σ	0..1	Range	Element id MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange Short description Length/Range of lengths, or (Start and/or end) limits Definition Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule. Data type Range Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: IVL(TS) used in a QSI
id		0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
low	S Σ I	0..1	SimpleQuantityPattern	Element id MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low Short description Low limit Definition The low limit. The boundary is inclusive. Comments If the low element is missing, the low boundary is not known. Data type SimpleQuantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3: If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` sqty-1: The comparator is not used on a SimpleQuantity `comparator.empty()` Pattern { "system": "http://unitsofmeasure.org" } Mappings rim: n/a v2: SN (see also Range) or CQ rim: PQ, IVL<PQ>, MO, CO, depending on the values v2: NR.1 rim: ./low
id		0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
value	S Σ	1..1	decimal	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.value Short description Numerical value (with implicit precision) Definition The value of the measured amount. The value includes an implicit precision in the presentation of the value. Requirements Precision is handled implicitly in almost all cases of measurement. Comments The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
comparator	Σ ?!	0..0	codeBinding	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.comparator Short description < \| <= \| >= \| > - how to understand the value Definition Not allowed to be used in this context Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Meaning when missing If there is no comparator, then there is no modification of the value Data type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: SN.1 / CQ.1 rim: IVL properties
unit	S Σ	0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
system	S Σ I	1..1	uriPattern	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Comments see http://en.wikipedia.org/wiki/Uniform_resource_identifier Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://unitsofmeasure.org Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
code	S Σ	1..1	code	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code
high	S Σ I	0..1	SimpleQuantityPattern	Element id MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high Short description High limit Definition The high limit. The boundary is inclusive. Comments If the high element is missing, the high boundary is not known. Data type SimpleQuantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3: If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` sqty-1: The comparator is not used on a SimpleQuantity `comparator.empty()` Pattern { "system": "http://unitsofmeasure.org" } Mappings rim: n/a v2: SN (see also Range) or CQ rim: PQ, IVL<PQ>, MO, CO, depending on the values v2: NR.2 rim: ./high
id		0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
value	S Σ	1..1	decimal	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.value Short description Numerical value (with implicit precision) Definition The value of the measured amount. The value includes an implicit precision in the presentation of the value. Requirements Precision is handled implicitly in almost all cases of measurement. Comments The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
comparator	Σ ?!	0..0	codeBinding	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.comparator Short description < \| <= \| >= \| > - how to understand the value Definition Not allowed to be used in this context Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Meaning when missing If there is no comparator, then there is no modification of the value Data type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: SN.1 / CQ.1 rim: IVL properties
unit	S Σ	0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
system	S Σ I	1..1	uriPattern	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Comments see http://en.wikipedia.org/wiki/Uniform_resource_identifier Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://unitsofmeasure.org Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
code	S Σ	1..1	code	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code
boundsPeriod	S Σ	0..1	Period	Element id MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod Short description Length/Range of lengths, or (Start and/or end) limits Definition Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: IVL(TS) used in a QSI
id		0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
start	S Σ I	0..1	dateTime	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod.start Short description Starting time with inclusive boundary Definition The start of the period. The boundary is inclusive. Comments If the low element is missing, the meaning is that the low boundary is not known. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: DR.1 rim: ./low
end	S Σ I	0..1	dateTime	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod.end Short description End time with inclusive boundary, if not ongoing Definition The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time. Comments The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03. Meaning when missing If the end of the period is missing, it means that the period is ongoing Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: DR.2 rim: ./high
count	S Σ	0..1	positiveInt	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.count Short description Number of times to repeat Definition A total count of the desired number of repetitions across the duration of the entire timing specification. If countMax is present, this element indicates the lower bound of the allowed range of count values. Requirements Repetitions may be limited by end time or total occurrences. Comments If you have both bounds and count, then this should be understood as within the bounds period, until count times happens. Data type positiveInt Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: PIVL.count
countMax	S Σ	0..1	positiveInt	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.countMax Short description Maximum number of times to repeat Definition If present, indicates that the count is a range - so to perform the action between [count] and [countMax] times. Comments 32 bit number; for values larger than this, use decimal Data type positiveInt Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: PIVL.count
duration	S Σ	0..1	decimal	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.duration Short description How long when it happens Definition How long this thing happens for when it happens. If durationMax is present, this element indicates the lower bound of the allowed range of the duration. Requirements Some activities are not instantaneous and need to be maintained for a period of time. Comments For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise). Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: PIVL.phase
durationMax	S Σ	0..1	decimal	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.durationMax Short description How long when it happens (Max) Definition If present, indicates that the duration is a range - so to perform the action between [duration] and [durationMax] time length. Requirements Some activities are not instantaneous and need to be maintained for a period of time. Comments For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise). Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: PIVL.phase
durationUnit	S Σ	0..1	codeBinding	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.durationUnit Short description s \| min \| h \| d \| wk \| mo \| a - unit of time (UCUM) Definition The units of time for the duration, in UCUM units. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Binding A unit of time (units from UCUM). UnitsOfTime (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: PIVL.phase.unit
frequency	S Σ	0..1	positiveInt	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.frequency Short description Event occurs frequency times per period Definition The number of times to repeat the action within the specified period. If frequencyMax is present, this element indicates the lower bound of the allowed range of the frequency. Comments 32 bit number; for values larger than this, use decimal Meaning when missing If no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this Data type positiveInt Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: PIVL.phase
frequencyMax	S Σ	0..1	positiveInt	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.frequencyMax Short description Event occurs up to frequencyMax times per period Definition If present, indicates that the frequency is a range - so to repeat between [frequency] and [frequencyMax] times within the period or period range. Comments 32 bit number; for values larger than this, use decimal Data type positiveInt Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: PIVL.phase
period	S Σ	0..1	decimal	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.period Short description Event occurs frequency times per period Definition Indicates the duration of time over which repetitions are to occur; e.g. to express "3 times per day", 3 would be the frequency and "1 day" would be the period. If periodMax is present, this element indicates the lower bound of the allowed range of the period length. Comments Do not use an IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger) Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: PIVL.phase
periodMax	S Σ	0..1	decimal	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.periodMax Short description Upper limit of period (3-4 hours) Definition If present, indicates that the period is a range from [period] to [periodMax], allowing expressing concepts such as "do this once every 3-5 days. Comments Do not use an IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger) Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: PIVL.phase
periodUnit	S Σ	0..1	codeBinding	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.periodUnit Short description s \| min \| h \| d \| wk \| mo \| a - unit of time (UCUM) Definition The units of time for the period in UCUM units. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Binding A unit of time (units from UCUM). UnitsOfTime (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: PIVL.phase.unit
dayOfWeek	S Σ	0..*	codeBinding	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.dayOfWeek Short description mon \| tue \| wed \| thu \| fri \| sat \| sun Definition If one or more days of week is provided, then the action happens only on the specified day(s). Comments If no days are specified, the action is assumed to happen every day as otherwise specified. The elements frequency and period cannot be used as well as dayOfWeek. Data type code Binding DaysOfWeek (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
timeOfDay	S Σ	0..*	time	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.timeOfDay Short description Time of day for action Definition Specified time of day for action to take place. Comments When time of day is specified, it is inferred that the action happens every day (as filtered by dayofWeek) on the specified times. The elements when, frequency and period cannot be used as well as timeOfDay. Data type time Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
when	S Σ	0..*	codeBinding	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.when Short description Code for time period of occurrence Definition An approximate time period during the day, potentially linked to an event of daily living that indicates when the action should occur. Requirements Timings are frequently determined by occurrences such as waking, eating and sleep. Comments When more than one event is listed, the event is tied to the union of the specified events. Data type code Binding Real world event relating to the schedule. EventTiming (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: EIVL.event
offset	S Σ	0..1	unsignedInt	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.repeat.offset Short description Minutes from event (before or after) Definition The number of minutes from the event. If the event code does not indicate whether the minutes is before or after the event, then the offset is assumed to be after the event. Comments 32 bit number; for values larger than this, use decimal Data type unsignedInt Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: EIVL.offset
code	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element id MedicationStatement.dosage.timing.code Short description BID \| TID \| QID \| AM \| PM \| QD \| QOD \| + Definition A code for the timing schedule (or just text in code.text). Some codes such as BID are ubiquitous, but many institutions define their own additional codes. If a code is provided, the code is understood to be a complete statement of whatever is specified in the structured timing data, and either the code or the data may be used to interpret the Timing, with the exception that .repeat.bounds still applies over the code (and is not contained in the code). Comments BID etc. are defined as 'at institutionally specified times'. For example, an institution may choose that BID is "always at 7am and 6pm". If it is inappropriate for this choice to be made, the code BID should not be used. Instead, a distinct organization-specific code should be used in place of the HL7-defined BID code and/or a structured representation should be used (in this case, specifying the two event times). Data type CodeableConcept Binding Code for a known / defined timing pattern. TimingAbbreviation (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD rim: QSC.code
asNeeded[x]	S Σ	0..1		Element id MedicationStatement.dosage.asNeeded[x] Short description Take "as needed" (for x) Definition Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept). Comments Can express "as needed" without a reason by setting the Boolean = True. In this case the CodeableConcept is not populated. Or you can express "as needed" with a reason by including the CodeableConcept. In this case the Boolean is assumed to be True. If you set the Boolean to False, then the dose is given according to the schedule and is not "prn" or "as needed". Sliced: Unordered, Open, by $this(Type) Binding A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. SNOMEDCTMedicationAsNeededReasonCodes (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: TQ1-9 rim: .outboundRelationship[typeCode=PRCN].target[classCode=OBS, moodCode=EVN, code="as needed"].value=boolean or codable concept
asNeededBoolean	S Σ	0..1	boolean	Element id MedicationStatement.dosage.asNeeded[x]:asNeededBoolean Short description Take "as needed" (for x) Definition Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept). Comments Can express "as needed" without a reason by setting the Boolean = True. In this case the CodeableConcept is not populated. Or you can express "as needed" with a reason by including the CodeableConcept. In this case the Boolean is assumed to be True. If you set the Boolean to False, then the dose is given according to the schedule and is not "prn" or "as needed". Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: TQ1-9 rim: .outboundRelationship[typeCode=PRCN].target[classCode=OBS, moodCode=EVN, code="as needed"].value=boolean or codable concept
asNeededCodeableConcept	S Σ	0..1	CodeableConcept	Element id MedicationStatement.dosage.asNeeded[x]:asNeededCodeableConcept Short description Take "as needed" (for x) Definition Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept). Comments Can express "as needed" without a reason by setting the Boolean = True. In this case the CodeableConcept is not populated. Or you can express "as needed" with a reason by including the CodeableConcept. In this case the Boolean is assumed to be True. If you set the Boolean to False, then the dose is given according to the schedule and is not "prn" or "as needed". Data type CodeableConcept Binding A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. SNOMEDCTMedicationAsNeededReasonCodes (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: TQ1-9 rim: .outboundRelationship[typeCode=PRCN].target[classCode=OBS, moodCode=EVN, code="as needed"].value=boolean or codable concept
site	S Σ	0..1	CodeableConcept	Element id MedicationStatement.dosage.site Short description Verabreichungsort Definition Körperstelle, an der das Medikament verabreicht wurde/wird oder werden soll. Requirements A coded specification of the anatomic site where the medication first enters the body. Comments If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both. Data type CodeableConcept Binding A coded concept describing the site location the medicine enters into or onto the body. SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD v2: RXR-2 rim: .approachSiteCode
id		0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.site.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.dosage.site.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
coding	S Σ	0..*	Coding	Element id MedicationStatement.dosage.site.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data type Coding Sliced: Unordered, Open, by $this(Pattern) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
SNOMED	S Σ	0..*	CodingPattern	Element id MedicationStatement.dosage.site.coding:SNOMED Short description SNOMED CT Code Definition Ein Verweis auf einen von SNOMED CT definierten Code Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data type Coding Binding target site IPS TargetSiteUvIps (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "system": "http://snomed.info/sct" } Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.site.coding:SNOMED.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.dosage.site.coding:SNOMED.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
system	S Σ	1..1	uriPattern	There are no (further) constraints on this element Element id MedicationStatement.dosage.site.coding:SNOMED.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://snomed.info/sct Mappings rim: n/a v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.site.coding:SNOMED.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element id MedicationStatement.dosage.site.coding:SNOMED.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.site.coding:SNOMED.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id MedicationStatement.dosage.site.coding:SNOMED.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.site.text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
route	S Σ	0..1	CodeableConcept	Element id MedicationStatement.dosage.route Short description Verabreichungsweg Definition Der Weg, auf dem das Medikament verabreicht wurde/wird oder werden soll. Requirements A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. SNOMEDCTRouteCodes (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD v2: RXR-1 rim: .routeCode
id		0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.route.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.dosage.route.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
coding	S Σ	0..*	Coding	Element id MedicationStatement.dosage.route.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data type Coding Sliced: Unordered, Open, by $this(Pattern) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
EDQM	S Σ	0..1	CodingBindingPattern	Element id MedicationStatement.dosage.route.coding:EDQM Short description EDQM Code Definition Ein Verweis auf einen durch EDQM Standard Terms definierten Code Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data type Coding Binding EDQM Standard Terms MedicineRouteOfAdministrationUvIps (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "system": "http://standardterms.edqm.eu" } Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.route.coding:EDQM.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.dosage.route.coding:EDQM.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
system	S Σ	1..1	uriPattern	There are no (further) constraints on this element Element id MedicationStatement.dosage.route.coding:EDQM.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://standardterms.edqm.eu Mappings rim: n/a v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.route.coding:EDQM.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element id MedicationStatement.dosage.route.coding:EDQM.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.route.coding:EDQM.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id MedicationStatement.dosage.route.coding:EDQM.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
SNOMED	S Σ	0..1	CodingPattern	Element id MedicationStatement.dosage.route.coding:SNOMED Short description SNOMED CT Code Definition Ein Verweis auf einen von SNOMED CT definierten Code Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data type Coding Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "system": "http://snomed.info/sct" } Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.route.coding:SNOMED.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.dosage.route.coding:SNOMED.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
system	S Σ	1..1	uriPattern	There are no (further) constraints on this element Element id MedicationStatement.dosage.route.coding:SNOMED.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://snomed.info/sct Mappings rim: n/a v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.route.coding:SNOMED.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element id MedicationStatement.dosage.route.coding:SNOMED.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.route.coding:SNOMED.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id MedicationStatement.dosage.route.coding:SNOMED.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.route.text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
method	Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element id MedicationStatement.dosage.method Short description Technique for administering medication Definition Technique for administering medication. Requirements A coded value indicating the method by which the medication is introduced into or onto the body. Most commonly used for injections. For examples, Slow Push; Deep IV. Comments Terminologies used often pre-coordinate this term with the route and or form of administration. Data type CodeableConcept Binding A coded concept describing the technique by which the medicine is administered. SNOMEDCTAdministrationMethodCodes (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD v2: RXR-4 rim: .doseQuantity
doseAndRate	S Σ	0..*	Element	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate Short description Amount of medication administered Definition The amount of medication administered. Data type Element Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: TQ1-2
id		0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
type	Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.type Short description The kind of dose or rate specified Definition The kind of dose or rate specified, for example, ordered or calculated. Requirements If the type is not populated, assume to be "ordered". Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding The kind of dose or rate specified. DoseAndRateType (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD v2: RXO-21; RXE-23
dose[x]	S Σ	0..1		Element id MedicationStatement.dosage.doseAndRate.dose[x] Short description Amount of medication per dose Definition Amount of medication per dose. Requirements The amount of therapeutic or other substance given at one administration event. Comments Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours. Sliced: Unordered, Open, by $this(Type) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: RXO-2, RXE-3 rim: .doseQuantity
doseRange	S Σ	0..1	Range	Element id MedicationStatement.dosage.doseAndRate.dose[x]:doseRange Short description Amount of medication per dose Definition Amount of medication per dose. Requirements The amount of therapeutic or other substance given at one administration event. Comments Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours. Data type Range Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: RXO-2, RXE-3 rim: .doseQuantity
id		0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
low	S Σ I	0..1	SimpleQuantityPattern	Element id MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.low Short description Low limit Definition The low limit. The boundary is inclusive. Comments If the low element is missing, the low boundary is not known. Data type SimpleQuantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3: If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` sqty-1: The comparator is not used on a SimpleQuantity `comparator.empty()` Pattern { "system": "http://unitsofmeasure.org" } Mappings rim: n/a v2: SN (see also Range) or CQ rim: PQ, IVL<PQ>, MO, CO, depending on the values v2: NR.1 rim: ./low
id		0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.low.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.low.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
value	S Σ	1..1	decimal	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.low.value Short description Numerical value (with implicit precision) Definition The value of the measured amount. The value includes an implicit precision in the presentation of the value. Requirements Precision is handled implicitly in almost all cases of measurement. Comments The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
comparator	Σ ?!	0..0	codeBinding	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.low.comparator Short description < \| <= \| >= \| > - how to understand the value Definition Not allowed to be used in this context Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Meaning when missing If there is no comparator, then there is no modification of the value Data type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: SN.1 / CQ.1 rim: IVL properties
unit	S Σ	0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.low.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
system	S Σ I	1..1	uriPattern	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.low.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Comments see http://en.wikipedia.org/wiki/Uniform_resource_identifier Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://unitsofmeasure.org Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
code	S Σ	1..1	code	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.low.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code
high	Σ I	0..1	SimpleQuantityPattern	Element id MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.high Short description High limit Definition The high limit. The boundary is inclusive. Comments If the high element is missing, the high boundary is not known. Data type SimpleQuantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3: If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` sqty-1: The comparator is not used on a SimpleQuantity `comparator.empty()` Pattern { "system": "http://unitsofmeasure.org" } Mappings rim: n/a v2: SN (see also Range) or CQ rim: PQ, IVL<PQ>, MO, CO, depending on the values v2: NR.2 rim: ./high
id		0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.high.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.high.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
value	S Σ	1..1	decimal	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.high.value Short description Numerical value (with implicit precision) Definition The value of the measured amount. The value includes an implicit precision in the presentation of the value. Requirements Precision is handled implicitly in almost all cases of measurement. Comments The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
comparator	Σ ?!	0..0	codeBinding	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.high.comparator Short description < \| <= \| >= \| > - how to understand the value Definition Not allowed to be used in this context Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Meaning when missing If there is no comparator, then there is no modification of the value Data type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: SN.1 / CQ.1 rim: IVL properties
unit	S Σ	0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.high.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
system	S Σ I	1..1	uriPattern	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.high.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Comments see http://en.wikipedia.org/wiki/Uniform_resource_identifier Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://unitsofmeasure.org Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
code	S Σ	1..1	code	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.high.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code
doseQuantity	S Σ I	0..1	SimpleQuantityPattern	Element id MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity Short description A fixed quantity (no comparator) Definition The comparator is not used on a SimpleQuantity Requirements The amount of therapeutic or other substance given at one administration event. Comments The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. Data type SimpleQuantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3: If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` sqty-1: The comparator is not used on a SimpleQuantity `comparator.empty()` Pattern { "system": "http://unitsofmeasure.org" } Mappings rim: n/a v2: RXO-2, RXE-3 rim: .doseQuantity v2: SN (see also Range) or CQ rim: PQ, IVL<PQ>, MO, CO, depending on the values
id		0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
value	S Σ	1..1	decimal	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.value Short description Numerical value (with implicit precision) Definition The value of the measured amount. The value includes an implicit precision in the presentation of the value. Requirements Precision is handled implicitly in almost all cases of measurement. Comments The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
comparator	Σ ?!	0..0	codeBinding	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.comparator Short description < \| <= \| >= \| > - how to understand the value Definition Not allowed to be used in this context Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Meaning when missing If there is no comparator, then there is no modification of the value Data type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: SN.1 / CQ.1 rim: IVL properties
unit	S Σ	0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
system	S Σ I	1..1	uriPattern	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Comments see http://en.wikipedia.org/wiki/Uniform_resource_identifier Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://unitsofmeasure.org Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
code	S Σ	1..1	code	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code
rate[x]	S Σ	0..1		Element id MedicationStatement.dosage.doseAndRate.rate[x] Short description Amount of medication per unit of time Definition Amount of medication per unit of time. Requirements Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. Comments It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate. It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour. Sliced: Unordered, Open, by $this(Type) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: RXE22, RXE23, RXE-24 rim: .rateQuantity
rateRatio	S Σ	0..1	Ratio	Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio Short description Amount of medication per unit of time Definition Amount of medication per unit of time. Requirements Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. Comments It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate. It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour. Data type Ratio Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: RXE22, RXE23, RXE-24 rim: .rateQuantity
id		0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
numerator	S Σ I	0..1	QuantityPattern	Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.numerator Short description Numerator value Definition The value of the numerator. Comments The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. Data type Quantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3: If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` Pattern { "system": "http://unitsofmeasure.org" } Mappings rim: n/a v2: SN (see also Range) or CQ rim: PQ, IVL<PQ>, MO, CO, depending on the values rim: .numerator
id		0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.numerator.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.numerator.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
value	S Σ	1..1	decimal	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.numerator.value Short description Numerical value (with implicit precision) Definition The value of the measured amount. The value includes an implicit precision in the presentation of the value. Requirements Precision is handled implicitly in almost all cases of measurement. Comments The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
comparator	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.numerator.comparator Short description < \| <= \| >= \| > - how to understand the value Definition How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Meaning when missing If there is no comparator, then there is no modification of the value Data type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: SN.1 / CQ.1 rim: IVL properties
unit	S Σ	0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.numerator.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
system	S Σ I	1..1	uriPattern	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.numerator.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Comments see http://en.wikipedia.org/wiki/Uniform_resource_identifier Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://unitsofmeasure.org Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
code	S Σ	1..1	code	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.numerator.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code
denominator	S Σ I	0..1	QuantityPattern	Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.denominator Short description Denominator value Definition The value of the denominator. Comments The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. Data type Quantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3: If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` Pattern { "system": "http://unitsofmeasure.org" } Mappings rim: n/a v2: SN (see also Range) or CQ rim: PQ, IVL<PQ>, MO, CO, depending on the values rim: .denominator
id		0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.denominator.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.denominator.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
value	S Σ	1..1	decimal	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.denominator.value Short description Numerical value (with implicit precision) Definition The value of the measured amount. The value includes an implicit precision in the presentation of the value. Requirements Precision is handled implicitly in almost all cases of measurement. Comments The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
comparator	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.denominator.comparator Short description < \| <= \| >= \| > - how to understand the value Definition How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Meaning when missing If there is no comparator, then there is no modification of the value Data type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: SN.1 / CQ.1 rim: IVL properties
unit	S Σ	0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.denominator.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
system	S Σ I	1..1	uriPattern	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.denominator.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Comments see http://en.wikipedia.org/wiki/Uniform_resource_identifier Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://unitsofmeasure.org Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
code	S Σ	1..1	code	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.denominator.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code
rateRange	S Σ	0..1	Range	Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRange Short description Amount of medication per unit of time Definition Amount of medication per unit of time. Requirements Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. Comments It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate. It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour. Data type Range Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: RXE22, RXE23, RXE-24 rim: .rateQuantity
id		0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
low	S Σ I	0..1	SimpleQuantityPattern	Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.low Short description Low limit Definition The low limit. The boundary is inclusive. Comments If the low element is missing, the low boundary is not known. Data type SimpleQuantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3: If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` sqty-1: The comparator is not used on a SimpleQuantity `comparator.empty()` Pattern { "system": "http://unitsofmeasure.org" } Mappings rim: n/a v2: SN (see also Range) or CQ rim: PQ, IVL<PQ>, MO, CO, depending on the values v2: NR.1 rim: ./low
id		0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.low.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.low.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
value	S Σ	1..1	decimal	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.low.value Short description Numerical value (with implicit precision) Definition The value of the measured amount. The value includes an implicit precision in the presentation of the value. Requirements Precision is handled implicitly in almost all cases of measurement. Comments The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
comparator	Σ ?!	0..0	codeBinding	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.low.comparator Short description < \| <= \| >= \| > - how to understand the value Definition Not allowed to be used in this context Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Meaning when missing If there is no comparator, then there is no modification of the value Data type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: SN.1 / CQ.1 rim: IVL properties
unit	S Σ	0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.low.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
system	S Σ I	1..1	uriPattern	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.low.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Comments see http://en.wikipedia.org/wiki/Uniform_resource_identifier Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://unitsofmeasure.org Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
code	S Σ	1..1	code	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.low.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code
high	S Σ I	0..1	SimpleQuantityPattern	Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.high Short description High limit Definition The high limit. The boundary is inclusive. Comments If the high element is missing, the high boundary is not known. Data type SimpleQuantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3: If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` sqty-1: The comparator is not used on a SimpleQuantity `comparator.empty()` Pattern { "system": "http://unitsofmeasure.org" } Mappings rim: n/a v2: SN (see also Range) or CQ rim: PQ, IVL<PQ>, MO, CO, depending on the values v2: NR.2 rim: ./high
id		0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.high.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.high.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
value	S Σ	1..1	decimal	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.high.value Short description Numerical value (with implicit precision) Definition The value of the measured amount. The value includes an implicit precision in the presentation of the value. Requirements Precision is handled implicitly in almost all cases of measurement. Comments The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
comparator	Σ ?!	0..0	codeBinding	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.high.comparator Short description < \| <= \| >= \| > - how to understand the value Definition Not allowed to be used in this context Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Meaning when missing If there is no comparator, then there is no modification of the value Data type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: SN.1 / CQ.1 rim: IVL properties
unit	S Σ	0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.high.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
system	S Σ I	1..1	uriPattern	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.high.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Comments see http://en.wikipedia.org/wiki/Uniform_resource_identifier Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://unitsofmeasure.org Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
code	S Σ	1..1	code	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.high.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code
rateQuantity	S Σ I	0..1	SimpleQuantityPattern	Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateQuantity Short description A fixed quantity (no comparator) Definition The comparator is not used on a SimpleQuantity Requirements Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. Comments The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. Data type SimpleQuantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3: If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` sqty-1: The comparator is not used on a SimpleQuantity `comparator.empty()` Pattern { "system": "http://unitsofmeasure.org" } Mappings rim: n/a v2: RXE22, RXE23, RXE-24 rim: .rateQuantity v2: SN (see also Range) or CQ rim: PQ, IVL<PQ>, MO, CO, depending on the values
id		0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateQuantity.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateQuantity.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
value	S Σ	1..1	decimal	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateQuantity.value Short description Numerical value (with implicit precision) Definition The value of the measured amount. The value includes an implicit precision in the presentation of the value. Requirements Precision is handled implicitly in almost all cases of measurement. Comments The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
comparator	Σ ?!	0..0	codeBinding	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateQuantity.comparator Short description < \| <= \| >= \| > - how to understand the value Definition Not allowed to be used in this context Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Meaning when missing If there is no comparator, then there is no modification of the value Data type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: SN.1 / CQ.1 rim: IVL properties
unit	S Σ	0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateQuantity.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
system	S Σ I	1..1	uriPattern	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateQuantity.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Comments see http://en.wikipedia.org/wiki/Uniform_resource_identifier Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://unitsofmeasure.org Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
code	S Σ	1..1	code	There are no (further) constraints on this element Element id MedicationStatement.dosage.doseAndRate.rate[x]:rateQuantity.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code
maxDosePerPeriod	S Σ I	0..1	Ratio	There are no (further) constraints on this element Element id MedicationStatement.dosage.maxDosePerPeriod Short description Upper limit on medication per unit of time Definition Upper limit on medication per unit of time. Requirements The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours. Comments This is intended for use as an adjunct to the dosage when there is an upper cap. For example "2 tablets every 4 hours to a maximum of 8/day". Data type Ratio Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present `(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())` Mappings rim: n/a v2: N/A rim: RTO v2: RXO-23, RXE-19 rim: .maxDoseQuantity
id		0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.maxDosePerPeriod.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.dosage.maxDosePerPeriod.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
numerator	S Σ I	0..1	QuantityPattern	Element id MedicationStatement.dosage.maxDosePerPeriod.numerator Short description Numerator value Definition The value of the numerator. Comments The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. Data type Quantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3: If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` Pattern { "system": "http://unitsofmeasure.org" } Mappings rim: n/a v2: SN (see also Range) or CQ rim: PQ, IVL<PQ>, MO, CO, depending on the values rim: .numerator
id		0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.maxDosePerPeriod.numerator.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.dosage.maxDosePerPeriod.numerator.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
value	S Σ	1..1	decimal	There are no (further) constraints on this element Element id MedicationStatement.dosage.maxDosePerPeriod.numerator.value Short description Numerical value (with implicit precision) Definition The value of the measured amount. The value includes an implicit precision in the presentation of the value. Requirements Precision is handled implicitly in almost all cases of measurement. Comments The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
comparator	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element id MedicationStatement.dosage.maxDosePerPeriod.numerator.comparator Short description < \| <= \| >= \| > - how to understand the value Definition How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Meaning when missing If there is no comparator, then there is no modification of the value Data type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: SN.1 / CQ.1 rim: IVL properties
unit	S Σ	0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.maxDosePerPeriod.numerator.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
system	S Σ I	1..1	uriPattern	There are no (further) constraints on this element Element id MedicationStatement.dosage.maxDosePerPeriod.numerator.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Comments see http://en.wikipedia.org/wiki/Uniform_resource_identifier Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://unitsofmeasure.org Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
code	S Σ	1..1	code	There are no (further) constraints on this element Element id MedicationStatement.dosage.maxDosePerPeriod.numerator.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code
denominator	S Σ I	0..1	QuantityPattern	Element id MedicationStatement.dosage.maxDosePerPeriod.denominator Short description Denominator value Definition The value of the denominator. Comments The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. Data type Quantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3: If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` Pattern { "system": "http://unitsofmeasure.org" } Mappings rim: n/a v2: SN (see also Range) or CQ rim: PQ, IVL<PQ>, MO, CO, depending on the values rim: .denominator
id		0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.maxDosePerPeriod.denominator.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.dosage.maxDosePerPeriod.denominator.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
value	S Σ	1..1	decimal	There are no (further) constraints on this element Element id MedicationStatement.dosage.maxDosePerPeriod.denominator.value Short description Numerical value (with implicit precision) Definition The value of the measured amount. The value includes an implicit precision in the presentation of the value. Requirements Precision is handled implicitly in almost all cases of measurement. Comments The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
comparator	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element id MedicationStatement.dosage.maxDosePerPeriod.denominator.comparator Short description < \| <= \| >= \| > - how to understand the value Definition How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Meaning when missing If there is no comparator, then there is no modification of the value Data type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: SN.1 / CQ.1 rim: IVL properties
unit	S Σ	0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.maxDosePerPeriod.denominator.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
system	S Σ I	1..1	uriPattern	There are no (further) constraints on this element Element id MedicationStatement.dosage.maxDosePerPeriod.denominator.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Comments see http://en.wikipedia.org/wiki/Uniform_resource_identifier Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://unitsofmeasure.org Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
code	S Σ	1..1	code	There are no (further) constraints on this element Element id MedicationStatement.dosage.maxDosePerPeriod.denominator.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code
maxDosePerAdministration	S Σ I	0..1	SimpleQuantityPattern	Element id MedicationStatement.dosage.maxDosePerAdministration Short description Upper limit on medication per administration Definition Upper limit on medication per administration. Requirements The maximum total quantity of a therapeutic substance that may be administered to a subject per administration. Comments This is intended for use as an adjunct to the dosage when there is an upper cap. For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg. Data type SimpleQuantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3: If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` sqty-1: The comparator is not used on a SimpleQuantity `comparator.empty()` Pattern { "system": "http://unitsofmeasure.org" } Mappings rim: n/a v2: SN (see also Range) or CQ rim: PQ, IVL<PQ>, MO, CO, depending on the values rim: not supported
id		0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.maxDosePerAdministration.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationStatement.dosage.maxDosePerAdministration.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
value	S Σ	1..1	decimal	There are no (further) constraints on this element Element id MedicationStatement.dosage.maxDosePerAdministration.value Short description Numerical value (with implicit precision) Definition The value of the measured amount. The value includes an implicit precision in the presentation of the value. Requirements Precision is handled implicitly in almost all cases of measurement. Comments The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: SN.2 / CQ - N/A rim: PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
comparator	Σ ?!	0..0	codeBinding	There are no (further) constraints on this element Element id MedicationStatement.dosage.maxDosePerAdministration.comparator Short description < \| <= \| >= \| > - how to understand the value Definition Not allowed to be used in this context Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Meaning when missing If there is no comparator, then there is no modification of the value Data type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: SN.1 / CQ.1 rim: IVL properties
unit	S Σ	0..1	string	There are no (further) constraints on this element Element id MedicationStatement.dosage.maxDosePerAdministration.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: PQ.unit
system	S Σ I	1..1	uriPattern	There are no (further) constraints on this element Element id MedicationStatement.dosage.maxDosePerAdministration.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Comments see http://en.wikipedia.org/wiki/Uniform_resource_identifier Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://unitsofmeasure.org Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: CO.codeSystem, PQ.translation.codeSystem
code	S Σ	1..1	code	There are no (further) constraints on this element Element id MedicationStatement.dosage.maxDosePerAdministration.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: (see OBX.6 etc.) / CQ.2 rim: PQ.code, MO.currency, PQ.translation.code
maxDosePerLifetime	Σ I	0..1	SimpleQuantity	There are no (further) constraints on this element Element id MedicationStatement.dosage.maxDosePerLifetime Short description Upper limit on medication per lifetime of the patient Definition Upper limit on medication per lifetime of the patient. Requirements The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject. Comments The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. Data type SimpleQuantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3: If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` sqty-1: The comparator is not used on a SimpleQuantity `comparator.empty()` Mappings rim: n/a v2: SN (see also Range) or CQ rim: PQ, IVL<PQ>, MO, CO, depending on the values rim: not supported

Das MedicationStatement kann anzeigen, dass der Patient ein Medikament zur Zeit einnimmt, in der Vergangenheit genommen hat oder in Zukunft einnehmen wird. Dabei kann es sich sowohl um verschreibungspflichtige Medikamente handeln, wie auch um OTC-Präparate, welche ein Patient in Eigenverantwortung einnimmt.

Feldname	Kurzbeschreibung
MedicationStatement.id
MedicationStatement.meta
MedicationStatement.meta.source
MedicationStatement.meta.profile
MedicationStatement.identifier	Identifikator
MedicationStatement.basedOn	Basiert auf
MedicationStatement.partOf	Teil von
MedicationStatement.status	Status
MedicationStatement.category	Kategorie
MedicationStatement.medication[x]	Medikation
MedicationStatement.medication[x]:medicationReference	Medikation Referenz
MedicationStatement.medication[x]:medicationCodeableConcept	Medikation Code
MedicationStatement.medication[x]:medicationCodeableConcept.coding
MedicationStatement.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer	PZN Code
MedicationStatement.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.system
MedicationStatement.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.code
MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe	ATC Klassifikation deutsche Version
MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe.system
MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe.code
MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassEn	Anatomical Therapeutic Chemical Classification System
MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassEn.system
MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassEn.code
MedicationStatement.medication[x]:medicationCodeableConcept.text
MedicationStatement.subject
MedicationStatement.context	Kontext
MedicationStatement.effective[x]	Zeitpunkt oder Zeitraum
MedicationStatement.effective[x]:effectiveDateTime	Zeitpunkt
MedicationStatement.effective[x]:effectivePeriod	Zeitraum
MedicationStatement.dateAsserted	Datum Bestätigung
MedicationStatement.informationSource	Informationsquelle
MedicationStatement.reasonCode	Grund Code
MedicationStatement.reasonReference	Grund Referenz
MedicationStatement.note	Hinweis
MedicationStatement.dosage	Dosierung
MedicationStatement.dosage.sequence
MedicationStatement.dosage.text
MedicationStatement.dosage.timing
MedicationStatement.dosage.timing.event
MedicationStatement.dosage.timing.repeat
MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration
MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.value
MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.unit
MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.system
MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.code
MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange
MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low
MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.value
MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.unit
MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.system
MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.code
MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high
MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.value
MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.unit
MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.system
MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.code
MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod
MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod.start
MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod.end
MedicationStatement.dosage.timing.repeat.count
MedicationStatement.dosage.timing.repeat.countMax
MedicationStatement.dosage.timing.repeat.duration
MedicationStatement.dosage.timing.repeat.durationMax
MedicationStatement.dosage.timing.repeat.durationUnit
MedicationStatement.dosage.timing.repeat.frequency
MedicationStatement.dosage.timing.repeat.frequencyMax
MedicationStatement.dosage.timing.repeat.period
MedicationStatement.dosage.timing.repeat.periodMax
MedicationStatement.dosage.timing.repeat.periodUnit
MedicationStatement.dosage.timing.repeat.dayOfWeek
MedicationStatement.dosage.timing.repeat.timeOfDay
MedicationStatement.dosage.timing.repeat.when
MedicationStatement.dosage.timing.repeat.offset
MedicationStatement.dosage.asNeeded[x]
MedicationStatement.dosage.asNeeded[x]:asNeededBoolean
MedicationStatement.dosage.asNeeded[x]:asNeededCodeableConcept
MedicationStatement.dosage.site	Verabreichungsort
MedicationStatement.dosage.site.coding
MedicationStatement.dosage.site.coding:SNOMED	SNOMED CT Code
MedicationStatement.dosage.site.coding:SNOMED.system
MedicationStatement.dosage.site.coding:SNOMED.code
MedicationStatement.dosage.route	Verabreichungsweg
MedicationStatement.dosage.route.coding
MedicationStatement.dosage.route.coding:EDQM	EDQM Code
MedicationStatement.dosage.route.coding:EDQM.system
MedicationStatement.dosage.route.coding:EDQM.code
MedicationStatement.dosage.route.coding:SNOMED	SNOMED CT Code
MedicationStatement.dosage.route.coding:SNOMED.system
MedicationStatement.dosage.route.coding:SNOMED.code
MedicationStatement.dosage.doseAndRate
MedicationStatement.dosage.doseAndRate.dose[x]
MedicationStatement.dosage.doseAndRate.dose[x]:doseRange
MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.low
MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.low.value
MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.low.unit
MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.low.system
MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.low.code
MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.high.value
MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.high.unit
MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.high.system
MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.high.code
MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity
MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.value
MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.unit
MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.system
MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.code
MedicationStatement.dosage.doseAndRate.rate[x]
MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio
MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.numerator
MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.numerator.value
MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.numerator.unit
MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.numerator.system
MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.numerator.code
MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.denominator
MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.denominator.value
MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.denominator.unit
MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.denominator.system
MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.denominator.code
MedicationStatement.dosage.doseAndRate.rate[x]:rateRange
MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.low
MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.low.value
MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.low.unit
MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.low.system
MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.low.code
MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.high
MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.high.value
MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.high.unit
MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.high.system
MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.high.code
MedicationStatement.dosage.doseAndRate.rate[x]:rateQuantity
MedicationStatement.dosage.doseAndRate.rate[x]:rateQuantity.value
MedicationStatement.dosage.doseAndRate.rate[x]:rateQuantity.unit
MedicationStatement.dosage.doseAndRate.rate[x]:rateQuantity.system
MedicationStatement.dosage.doseAndRate.rate[x]:rateQuantity.code
MedicationStatement.dosage.maxDosePerPeriod
MedicationStatement.dosage.maxDosePerPeriod.numerator
MedicationStatement.dosage.maxDosePerPeriod.numerator.value
MedicationStatement.dosage.maxDosePerPeriod.numerator.unit
MedicationStatement.dosage.maxDosePerPeriod.numerator.system
MedicationStatement.dosage.maxDosePerPeriod.numerator.code
MedicationStatement.dosage.maxDosePerPeriod.denominator
MedicationStatement.dosage.maxDosePerPeriod.denominator.value
MedicationStatement.dosage.maxDosePerPeriod.denominator.unit
MedicationStatement.dosage.maxDosePerPeriod.denominator.system
MedicationStatement.dosage.maxDosePerPeriod.denominator.code
MedicationStatement.dosage.maxDosePerAdministration
MedicationStatement.dosage.maxDosePerAdministration.value
MedicationStatement.dosage.maxDosePerAdministration.unit
MedicationStatement.dosage.maxDosePerAdministration.system
MedicationStatement.dosage.maxDosePerAdministration.code

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="mii-pr-medikation-medication-statement" />
    <extension url="https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable">
        <valueCodeableConcept>
            <coding>
                <system value="http://hl7.org/fhir/spdx-license" />
                <code value="CC-BY-4.0" />
                <display value="Creative Commons Attribution 4.0 International" />
            </coding>
        </valueCodeableConcept>
    </extension>
    <url value="https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationStatement" />
    <version value="2025.0.0" />
    <name value="MII_PR_Medikation_MedicationStatement">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
                <valueCode value="en-US" />
            </extension>
            <extension url="content">
                <valueString value="MII_PR_Medikation_MedicationStatement" />
            </extension>
        </extension>
    </name>
    <title value="MII PR Medikation MedicationStatement">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
                <valueCode value="de-DE" />
            </extension>
            <extension url="content">
                <valueString value="Medikationseintrag" />
            </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
                <valueCode value="en-US" />
            </extension>
            <extension url="content">
                <valueString value="Medication statement" />
            </extension>
        </extension>
    </title>
    <status value="active" />
    <date value="2024-11-14" />
    <publisher value="Medizininformatik Initiative" />
    <contact>
        <telecom>
            <system value="url" />
            <value value="https://www.medizininformatik-initiative.de" />
        </telecom>
    </contact>
    <description value="Das MedicationStatement kann anzeigen, dass der Patient ein Medikament zur Zeit einnimmt, in der Vergangenheit genommen hat oder in Zukunft einnehmen wird. Dabei kann es sich sowohl um verschreibungspflichtige Medikamente handeln, wie auch um OTC-Pr&#228;parate, welche ein Patient in Eigenverantwortung einnimmt.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
                <valueCode value="de-DE" />
            </extension>
            <extension url="content">
                <valueString value="Ein Bericht oder Dokumentation &#252;ber den Konsum einer Medikation." />
            </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
                <valueCode value="en-US" />
            </extension>
            <extension url="content">
                <valueString value="A record of a medication that is being consumed by a patient." />
            </extension>
        </extension>
    </description>
    <fhirVersion value="4.0.1" />
    <kind value="resource" />
    <abstract value="false" />
    <type value="MedicationStatement" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/MedicationStatement" />
    <derivation value="constraint" />
    <differential>
        <element id="MedicationStatement.id">
            <path value="MedicationStatement.id" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.meta">
            <path value="MedicationStatement.meta" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.meta.source">
            <path value="MedicationStatement.meta.source" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.meta.profile">
            <path value="MedicationStatement.meta.profile" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.identifier">
            <path value="MedicationStatement.identifier" />
            <short value="Identifikator">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Identifikator" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Identifier" />
                    </extension>
                </extension>
            </short>
            <definition value="Ein Identifikator f&#252;r den Medikationseintrag">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Ein Identifikator f&#252;r den Medikationseintrag" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="An identifier for this medication statement" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.basedOn">
            <path value="MedicationStatement.basedOn" />
            <short value="Basiert auf">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Basiert auf" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Based on" />
                    </extension>
                </extension>
            </short>
            <definition value="Ein Plan oder eine Anforderung, die durch den Medikationseintrag erf&#252;llt wird.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Ein Plan oder eine Anforderung, die durch den Medikationseintrag erf&#252;llt wird." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="A plan, proposal or order that is fulfilled in whole or in part by this event." />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.partOf">
            <path value="MedicationStatement.partOf" />
            <short value="Teil von">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Teil von" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Part of" />
                    </extension>
                </extension>
            </short>
            <definition value="Ein gr&#246;&#223;eres Ereignis, von dem dieses spezielle Ereignis ein Bestandteil oder Schritt ist.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Ein gr&#246;&#223;eres Ereignis, von dem dieses spezielle Ereignis ein Bestandteil oder Schritt ist." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="A larger event of which this particular event is a component or step." />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.status">
            <path value="MedicationStatement.status" />
            <short value="Status">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Status" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Status" />
                    </extension>
                </extension>
            </short>
            <definition value="aktiv | abgeschlossen | Eingabe fehlerhaft | intendiert | gestoppt | pausiert | unbekannt| nicht eingenommen">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="aktiv | abgeschlossen | Eingabe fehlerhaft | intendiert | gestoppt | pausiert | unbekannt| nicht eingenommen" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.category">
            <path value="MedicationStatement.category" />
            <short value="Kategorie">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Kategorie" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Category" />
                    </extension>
                </extension>
            </short>
            <definition value="Eine Kategorie, die dem Medikationseintrag zugeordnet ist.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Eine Kategorie, die dem Medikationseintrag zugeordnet ist." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="A category assigned to the medication statement." />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.category.coding">
            <path value="MedicationStatement.category.coding" />
            <slicing>
                <discriminator>
                    <type value="pattern" />
                    <path value="$this" />
                </discriminator>
                <rules value="open" />
            </slicing>
        </element>
        <element id="MedicationStatement.category.coding:usageCategory">
            <path value="MedicationStatement.category.coding" />
            <sliceName value="usageCategory" />
            <short value="Kategorie Anwendungsbereich">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Kategorie Anwendungsbereich" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Usage Category" />
                    </extension>
                </extension>
            </short>
            <definition value="Kategorie, die den Anwendungsbereich des Medikationseintrags beschreibt.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Kategorie, die den Anwendungsbereich des Medikationseintrags beschreibt." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Usage Category for the medication statement." />
                    </extension>
                </extension>
            </definition>
            <min value="0" />
            <max value="*" />
            <patternCoding>
                <system value="http://terminology.hl7.org/CodeSystem/medication-statement-category" />
            </patternCoding>
            <binding>
                <strength value="required" />
                <valueSet value="http://hl7.org/fhir/ValueSet/medication-statement-category" />
            </binding>
        </element>
        <element id="MedicationStatement.category.coding:contextCode">
            <path value="MedicationStatement.category.coding" />
            <sliceName value="contextCode" />
            <short value="Kategorie Kontext">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Kategorie Kontext" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Context Category" />
                    </extension>
                </extension>
            </short>
            <definition value="ambulanter Kontakt | station&#228;rer Aufenthalt | station&#228;re Aufnahme | station&#228;re Entlassung">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="ambulanter Kontakt | station&#228;rer Aufenthalt | station&#228;re Aufnahme | station&#228;re Entlassung" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="outpatient contact | inpatient stay | inpatient admission | inpatient discharge" />
                    </extension>
                </extension>
            </definition>
            <min value="0" />
            <max value="1" />
            <patternCoding>
                <system value="http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung" />
            </patternCoding>
            <binding>
                <strength value="required" />
                <valueSet value="https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/ValueSet/fallkontext" />
            </binding>
        </element>
        <element id="MedicationStatement.medication[x]">
            <path value="MedicationStatement.medication[x]" />
            <slicing>
                <discriminator>
                    <type value="type" />
                    <path value="$this" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <short value="Medikation">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Medikation" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Medication" />
                    </extension>
                </extension>
            </short>
            <definition value="Das Medikament, welches Gegenstand des Eintrags ist. Code oder Referenz auf Medication-Objekt.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Medikation, welche Gegenstand des Eintrags ist. Code oder Referenz auf Medication-Objekt." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="The medication that the statement is about. Code or a reference to a Medication resource." />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.medication[x]:medicationReference">
            <path value="MedicationStatement.medication[x]" />
            <sliceName value="medicationReference" />
            <short value="Medikation Referenz">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Medikation Referenz" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Medication Reference" />
                    </extension>
                </extension>
            </short>
            <definition value="Referenz auf ein Medication-Ressource.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Referenz auf eine Medication-Ressource." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Reference to a Medication resource." />
                    </extension>
                </extension>
            </definition>
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/Medication" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.medication[x]:medicationCodeableConcept">
            <path value="MedicationStatement.medication[x]" />
            <sliceName value="medicationCodeableConcept" />
            <short value="Medikation Code">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Medikation Code" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Medication code" />
                    </extension>
                </extension>
            </short>
            <definition value="Code f&#252;r das Medikament, welches Gegenstand des Eintrags ist.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Code f&#252;r das Medikament, welches Gegenstand des Eintrags ist." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Code for the medication that the statement is about." />
                    </extension>
                </extension>
            </definition>
            <min value="0" />
            <max value="1" />
            <type>
                <code value="CodeableConcept" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.medication[x]:medicationCodeableConcept.coding">
            <path value="MedicationStatement.medication[x].coding" />
            <slicing>
                <discriminator>
                    <type value="pattern" />
                    <path value="$this" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer">
            <path value="MedicationStatement.medication[x].coding" />
            <sliceName value="Pharmazentralnummer" />
            <short value="PZN Code">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="PZN Code" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="PZN code" />
                    </extension>
                </extension>
            </short>
            <definition value="Ein Verweis auf einen von der Pharmazentralnummer (PZN) definierten Code">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Ein Verweis auf einen von der Pharmazentralnummer definierten Code" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="A reference to a code defined by Pharmazentralnummer" />
                    </extension>
                </extension>
            </definition>
            <min value="0" />
            <max value="*" />
            <patternCoding>
                <system value="http://fhir.de/CodeSystem/ifa/pzn" />
            </patternCoding>
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="http://fhir.de/ValueSet/ifa/pzn" />
            </binding>
        </element>
        <element id="MedicationStatement.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.system">
            <path value="MedicationStatement.medication[x].coding.system" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.code">
            <path value="MedicationStatement.medication[x].coding.code" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe">
            <path value="MedicationStatement.medication[x].coding" />
            <sliceName value="atcClassDe" />
            <short value="ATC Klassifikation deutsche Version">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="ATC Code" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="ATC code" />
                    </extension>
                </extension>
            </short>
            <definition value="ATC-Codes f&#252;r Fertigarzneimittel bspw. von Kombiprodukten">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Ein Verweis auf einen von der deutschen Fassung der Anatomisch-Therapeutisch-Chemischen Klassifikation definierten Code" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="A reference to a code defined by the German edition of the Anatomical Therapeutic Chemical classification system" />
                    </extension>
                </extension>
            </definition>
            <min value="0" />
            <max value="*" />
            <patternCoding>
                <system value="http://fhir.de/CodeSystem/bfarm/atc" />
            </patternCoding>
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="http://fhir.de/ValueSet/bfarm/atc" />
            </binding>
        </element>
        <element id="MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe.system">
            <path value="MedicationStatement.medication[x].coding.system" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe.code">
            <path value="MedicationStatement.medication[x].coding.code" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassEn">
            <path value="MedicationStatement.medication[x].coding" />
            <sliceName value="atcClassEn" />
            <short value="Anatomical Therapeutic Chemical Classification System">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="ATC WHO Code" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="ATC WHO code" />
                    </extension>
                </extension>
            </short>
            <definition value="ATC Classification International WHO Version">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Ein Verweis auf einen von der WHO Anatomisch-Therapeutisch-Chemischen Klassifikation definierten Code" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="A reference to a code defined by the WHO edition of the Anatomical Therapeutic Chemical classification system" />
                    </extension>
                </extension>
            </definition>
            <min value="0" />
            <max value="*" />
            <patternCoding>
                <system value="http://www.whocc.no/atc" />
            </patternCoding>
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassEn.system">
            <path value="MedicationStatement.medication[x].coding.system" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassEn.code">
            <path value="MedicationStatement.medication[x].coding.code" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.medication[x]:medicationCodeableConcept.text">
            <path value="MedicationStatement.medication[x].text" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.subject">
            <path value="MedicationStatement.subject" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.context">
            <path value="MedicationStatement.context" />
            <short value="Kontext">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Kontext" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Context" />
                    </extension>
                </extension>
            </short>
            <definition value="Fall oder Kontakt in Verbindung mit dem Medikationseintrag">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Fall oder Kontakt in Verbindung mit dem Medikationseintrag" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Encounter / Episode associated with MedicationStatement" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.effective[x]">
            <path value="MedicationStatement.effective[x]" />
            <slicing>
                <discriminator>
                    <type value="type" />
                    <path value="$this" />
                </discriminator>
                <ordered value="false" />
                <rules value="open" />
            </slicing>
            <short value="Zeitpunkt oder Zeitraum">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Zeitpunkt oder Zeitraum" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Date or period" />
                    </extension>
                </extension>
            </short>
            <definition value="Die Zeitspanne, in der angegeben wird, dass der Patient das Medikament eingenommen hat oder einnehmen wird.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Die Zeitspanne, in der angegeben wird, dass der Patient das Medikament eingenommen hat oder einnehmen wird." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="The interval of time during which it is being asserted that the patient is/was/will be taking the medication." />
                    </extension>
                </extension>
            </definition>
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.effective[x]:effectiveDateTime">
            <path value="MedicationStatement.effective[x]" />
            <sliceName value="effectiveDateTime" />
            <short value="Zeitpunkt">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Zeitpunkt" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Date time" />
                    </extension>
                </extension>
            </short>
            <definition value="Der Zeitpunkt, an dem der Patient das Medikament eingenommen hat oder einnehmen wird.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Der Zeitpunkt, an dem der Patient das Medikament eingenommen hat oder einnehmen wird." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="The date time when the medication was or will be taken." />
                    </extension>
                </extension>
            </definition>
            <min value="0" />
            <max value="1" />
            <type>
                <code value="dateTime" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.effective[x]:effectivePeriod">
            <path value="MedicationStatement.effective[x]" />
            <sliceName value="effectivePeriod" />
            <short value="Zeitraum">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Zeitraum" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Period" />
                    </extension>
                </extension>
            </short>
            <definition value="Der Zeitraum, in dem der Patient das Medikament eingenommen hat oder einnehmen wird.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Der Zeitraum, in dem der Patient das Medikament eingenommen hat oder einnehmen wird." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="The interval of time during which the patient is/was/will be taking the medication." />
                    </extension>
                </extension>
            </definition>
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Period" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dateAsserted">
            <path value="MedicationStatement.dateAsserted" />
            <short value="Datum Best&#228;tigung">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Datum Best&#228;tigung" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Date asserted" />
                    </extension>
                </extension>
            </short>
            <definition value="Das Datum, an dem der Medikationseintrag von der Informationsquelle best&#228;tigt wurde.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Das Datum, an dem der Medikationseintrag von der Informationsquelle best&#228;tigt wurde." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="The date when the medication statement was asserted by the information source." />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.informationSource">
            <path value="MedicationStatement.informationSource" />
            <short value="Informationsquelle">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Informationsquelle" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Information source" />
                    </extension>
                </extension>
            </short>
            <definition value="Die Person oder Organisation, die die Information &#252;ber die Einnahme dieses Medikaments bereitgestellt hat.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Die Person oder Organisation, die die Information &#252;ber die Einnahme dieses Medikaments bereitgestellt hat." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="The person or organization that provided the information about the taking of this medication." />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.reasonCode">
            <path value="MedicationStatement.reasonCode" />
            <short value="Grund Code">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Grund Code" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Reason code" />
                    </extension>
                </extension>
            </short>
            <definition value="Grund f&#252;r den Medikationseintrag als Code.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Grund f&#252;r den Medikationseintrag als Code." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Reason for the medication statement as a code." />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.reasonReference">
            <path value="MedicationStatement.reasonReference" />
            <short value="Grund Referenz">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Grund Referenz" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Reason reference" />
                    </extension>
                </extension>
            </short>
            <definition value="Grund f&#252;r den Medikationseintrag als Referenz auf Condition- oder Observation-Ressource.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Grund f&#252;r den Medikationseintrag als Referenz auf Condition- oder Observation-Ressource." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Condition or observation that supports why the medication is being/was taken" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.note">
            <path value="MedicationStatement.note" />
            <short value="Hinweis">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Hinweis" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Note" />
                    </extension>
                </extension>
            </short>
            <definition value="Zus&#228;tzliche Informationen zum Medikationseintrag als Freitext.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Zus&#228;tzliche Informationen zum Medikationseintrag als Freitext." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Additional information about the medication statement as free text." />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage">
            <path value="MedicationStatement.dosage" />
            <short value="Dosierung">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Dosierung" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Dosage" />
                    </extension>
                </extension>
            </short>
            <definition value="Details zur Dosierung des Medikamentes.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Details zur Dosierung des Medikamentes." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Details of how the medication is/was taken or should be taken." />
                    </extension>
                </extension>
            </definition>
            <constraint>
                <key value="dsg-1" />
                <severity value="error" />
                <human value="If present, dosage must include free text or structured data" />
                <expression value="text.exists() or doseAndRate.exists()" />
                <source value="https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationStatement" />
            </constraint>
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.sequence">
            <path value="MedicationStatement.dosage.sequence" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.text">
            <path value="MedicationStatement.dosage.text" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing">
            <path value="MedicationStatement.dosage.timing" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing.event">
            <path value="MedicationStatement.dosage.timing.event" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing.repeat">
            <path value="MedicationStatement.dosage.timing.repeat" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing.repeat.bounds[x]">
            <path value="MedicationStatement.dosage.timing.repeat.bounds[x]" />
            <slicing>
                <discriminator>
                    <type value="type" />
                    <path value="$this" />
                </discriminator>
                <ordered value="false" />
                <rules value="open" />
            </slicing>
        </element>
        <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration">
            <path value="MedicationStatement.dosage.timing.repeat.bounds[x]" />
            <sliceName value="boundsDuration" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Duration" />
            </type>
            <patternDuration>
                <system value="http://unitsofmeasure.org" />
            </patternDuration>
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.value">
            <path value="MedicationStatement.dosage.timing.repeat.bounds[x].value" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.unit">
            <path value="MedicationStatement.dosage.timing.repeat.bounds[x].unit" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.system">
            <path value="MedicationStatement.dosage.timing.repeat.bounds[x].system" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.code">
            <path value="MedicationStatement.dosage.timing.repeat.bounds[x].code" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange">
            <path value="MedicationStatement.dosage.timing.repeat.bounds[x]" />
            <sliceName value="boundsRange" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Range" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low">
            <path value="MedicationStatement.dosage.timing.repeat.bounds[x].low" />
            <patternQuantity>
                <system value="http://unitsofmeasure.org" />
            </patternQuantity>
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.value">
            <path value="MedicationStatement.dosage.timing.repeat.bounds[x].low.value" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.unit">
            <path value="MedicationStatement.dosage.timing.repeat.bounds[x].low.unit" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.system">
            <path value="MedicationStatement.dosage.timing.repeat.bounds[x].low.system" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.code">
            <path value="MedicationStatement.dosage.timing.repeat.bounds[x].low.code" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high">
            <path value="MedicationStatement.dosage.timing.repeat.bounds[x].high" />
            <patternQuantity>
                <system value="http://unitsofmeasure.org" />
            </patternQuantity>
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.value">
            <path value="MedicationStatement.dosage.timing.repeat.bounds[x].high.value" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.unit">
            <path value="MedicationStatement.dosage.timing.repeat.bounds[x].high.unit" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.system">
            <path value="MedicationStatement.dosage.timing.repeat.bounds[x].high.system" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.code">
            <path value="MedicationStatement.dosage.timing.repeat.bounds[x].high.code" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod">
            <path value="MedicationStatement.dosage.timing.repeat.bounds[x]" />
            <sliceName value="boundsPeriod" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Period" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod.start">
            <path value="MedicationStatement.dosage.timing.repeat.bounds[x].start" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod.end">
            <path value="MedicationStatement.dosage.timing.repeat.bounds[x].end" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing.repeat.count">
            <path value="MedicationStatement.dosage.timing.repeat.count" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing.repeat.countMax">
            <path value="MedicationStatement.dosage.timing.repeat.countMax" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing.repeat.duration">
            <path value="MedicationStatement.dosage.timing.repeat.duration" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing.repeat.durationMax">
            <path value="MedicationStatement.dosage.timing.repeat.durationMax" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing.repeat.durationUnit">
            <path value="MedicationStatement.dosage.timing.repeat.durationUnit" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing.repeat.frequency">
            <path value="MedicationStatement.dosage.timing.repeat.frequency" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing.repeat.frequencyMax">
            <path value="MedicationStatement.dosage.timing.repeat.frequencyMax" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing.repeat.period">
            <path value="MedicationStatement.dosage.timing.repeat.period" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing.repeat.periodMax">
            <path value="MedicationStatement.dosage.timing.repeat.periodMax" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing.repeat.periodUnit">
            <path value="MedicationStatement.dosage.timing.repeat.periodUnit" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing.repeat.dayOfWeek">
            <path value="MedicationStatement.dosage.timing.repeat.dayOfWeek" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing.repeat.timeOfDay">
            <path value="MedicationStatement.dosage.timing.repeat.timeOfDay" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing.repeat.when">
            <path value="MedicationStatement.dosage.timing.repeat.when" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.timing.repeat.offset">
            <path value="MedicationStatement.dosage.timing.repeat.offset" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.asNeeded[x]">
            <path value="MedicationStatement.dosage.asNeeded[x]" />
            <slicing>
                <discriminator>
                    <type value="type" />
                    <path value="$this" />
                </discriminator>
                <ordered value="false" />
                <rules value="open" />
            </slicing>
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.asNeeded[x]:asNeededBoolean">
            <path value="MedicationStatement.dosage.asNeeded[x]" />
            <sliceName value="asNeededBoolean" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="boolean" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.asNeeded[x]:asNeededCodeableConcept">
            <path value="MedicationStatement.dosage.asNeeded[x]" />
            <sliceName value="asNeededCodeableConcept" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="CodeableConcept" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.site">
            <path value="MedicationStatement.dosage.site" />
            <short value="Verabreichungsort">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Verabreichungsort" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Site of administration" />
                    </extension>
                </extension>
            </short>
            <definition value="K&#246;rperstelle, an der das Medikament verabreicht wurde/wird oder werden soll.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="K&#246;rperstelle, an der das Medikament verabreicht wurde/wird oder werden soll." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Anatomic site where the medication was/is or should be administered." />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.site.coding">
            <path value="MedicationStatement.dosage.site.coding" />
            <slicing>
                <discriminator>
                    <type value="pattern" />
                    <path value="$this" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.site.coding:SNOMED">
            <path value="MedicationStatement.dosage.site.coding" />
            <sliceName value="SNOMED" />
            <short value="SNOMED CT Code">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="SNOMED CT Code" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="SNOMED CT code" />
                    </extension>
                </extension>
            </short>
            <definition value="Ein Verweis auf einen von SNOMED CT definierten Code">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Ein Verweis auf einen von SNOMED CT definierten Code" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="A reference to a code defined by SNOMED CT" />
                    </extension>
                </extension>
            </definition>
            <min value="0" />
            <max value="*" />
            <patternCoding>
                <system value="http://snomed.info/sct" />
            </patternCoding>
            <mustSupport value="true" />
            <binding>
                <strength value="example" />
                <description value="target site IPS" />
                <valueSet value="http://hl7.org/fhir/uv/ips/ValueSet/target-site-uv-ips" />
            </binding>
        </element>
        <element id="MedicationStatement.dosage.site.coding:SNOMED.system">
            <path value="MedicationStatement.dosage.site.coding.system" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.site.coding:SNOMED.code">
            <path value="MedicationStatement.dosage.site.coding.code" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.route">
            <path value="MedicationStatement.dosage.route" />
            <short value="Verabreichungsweg">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Verabreichungsweg" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Route of administration" />
                    </extension>
                </extension>
            </short>
            <definition value="Der Weg, auf dem das Medikament verabreicht wurde/wird oder werden soll.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Der Weg, auf dem das Medikament verabreicht wurde/wird oder werden soll." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="How drug was administered or should be administered." />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.route.coding">
            <path value="MedicationStatement.dosage.route.coding" />
            <slicing>
                <discriminator>
                    <type value="pattern" />
                    <path value="$this" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.route.coding:EDQM">
            <path value="MedicationStatement.dosage.route.coding" />
            <sliceName value="EDQM" />
            <short value="EDQM Code">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="EDQM Code" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="EDQM code" />
                    </extension>
                </extension>
            </short>
            <definition value="Ein Verweis auf einen durch EDQM Standard Terms definierten Code">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Ein Verweis auf einen durch EDQM Standard Terms definierten Code" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="A reference to a code defined by EDQM Standard Terms" />
                    </extension>
                </extension>
            </definition>
            <min value="0" />
            <max value="1" />
            <patternCoding>
                <system value="http://standardterms.edqm.eu" />
            </patternCoding>
            <mustSupport value="true" />
            <binding>
                <strength value="preferred" />
                <description value="EDQM Standard Terms" />
                <valueSet value="http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration" />
            </binding>
        </element>
        <element id="MedicationStatement.dosage.route.coding:EDQM.system">
            <path value="MedicationStatement.dosage.route.coding.system" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="MedicationStatement.dosage.route.coding:EDQM.code">
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                    <extension url="lang">
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                    </extension>
                    <extension url="content">
                        <valueString value="SNOMED CT Code" />
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                    <extension url="lang">
                        <valueCode value="en-US" />
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                    <extension url="content">
                        <valueString value="SNOMED CT code" />
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                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
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                    <extension url="content">
                        <valueString value="A reference to a code defined by SNOMED CT" />
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                </extension>
            </definition>
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            <max value="1" />
            <patternCoding>
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                <code value="Ratio" />
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</StructureDefinition>

{
    "resourceType": "StructureDefinition",
    "id": "mii-pr-medikation-medication-statement",
    "extension":  [
        {
            "url": "https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable",
            "valueCodeableConcept": {
                "coding":  [
                    {
                        "code": "CC-BY-4.0",
                        "system": "http://hl7.org/fhir/spdx-license",
                        "display": "Creative Commons Attribution 4.0 International"
                    }
                ]
            }
        }
    ],
    "url": "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationStatement",
    "version": "2025.0.0",
    "name": "MII_PR_Medikation_MedicationStatement",
    "_name": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "en-US"
                    },
                    {
                        "url": "content",
                        "valueString": "MII_PR_Medikation_MedicationStatement"
                    }
                ]
            }
        ]
    },
    "title": "MII PR Medikation MedicationStatement",
    "_title": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "de-DE"
                    },
                    {
                        "url": "content",
                        "valueString": "Medikationseintrag"
                    }
                ]
            },
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "en-US"
                    },
                    {
                        "url": "content",
                        "valueString": "Medication statement"
                    }
                ]
            }
        ]
    },
    "status": "active",
    "date": "2024-11-14",
    "publisher": "Medizininformatik Initiative",
    "contact":  [
        {
            "telecom":  [
                {
                    "system": "url",
                    "value": "https://www.medizininformatik-initiative.de"
                }
            ]
        }
    ],
    "description": "Das MedicationStatement kann anzeigen, dass der Patient ein Medikament zur Zeit einnimmt, in der Vergangenheit genommen hat oder in Zukunft einnehmen wird. Dabei kann es sich sowohl um verschreibungspflichtige Medikamente handeln, wie auch um OTC-Präparate, welche ein Patient in Eigenverantwortung einnimmt.",
    "_description": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "de-DE"
                    },
                    {
                        "url": "content",
                        "valueString": "Ein Bericht oder Dokumentation über den Konsum einer Medikation."
                    }
                ]
            },
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "en-US"
                    },
                    {
                        "url": "content",
                        "valueString": "A record of a medication that is being consumed by a patient."
                    }
                ]
            }
        ]
    },
    "fhirVersion": "4.0.1",
    "kind": "resource",
    "abstract": false,
    "type": "MedicationStatement",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationStatement",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "MedicationStatement.id",
                "path": "MedicationStatement.id",
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.meta",
                "path": "MedicationStatement.meta",
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.meta.source",
                "path": "MedicationStatement.meta.source",
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.meta.profile",
                "path": "MedicationStatement.meta.profile",
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.identifier",
                "path": "MedicationStatement.identifier",
                "short": "Identifikator",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Identifikator"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Identifier"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Ein Identifikator für den Medikationseintrag",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Ein Identifikator für den Medikationseintrag"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "An identifier for this medication statement"
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.basedOn",
                "path": "MedicationStatement.basedOn",
                "short": "Basiert auf",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Basiert auf"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Based on"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Ein Plan oder eine Anforderung, die durch den Medikationseintrag erfüllt wird.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Ein Plan oder eine Anforderung, die durch den Medikationseintrag erfüllt wird."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "A plan, proposal or order that is fulfilled in whole or in part by this event."
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.partOf",
                "path": "MedicationStatement.partOf",
                "short": "Teil von",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Teil von"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Part of"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Ein größeres Ereignis, von dem dieses spezielle Ereignis ein Bestandteil oder Schritt ist.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Ein größeres Ereignis, von dem dieses spezielle Ereignis ein Bestandteil oder Schritt ist."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "A larger event of which this particular event is a component or step."
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.status",
                "path": "MedicationStatement.status",
                "short": "Status",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Status"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Status"
                                }
                            ]
                        }
                    ]
                },
                "definition": "aktiv | abgeschlossen | Eingabe fehlerhaft | intendiert | gestoppt | pausiert | unbekannt| nicht eingenommen",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "aktiv | abgeschlossen | Eingabe fehlerhaft | intendiert | gestoppt | pausiert | unbekannt| nicht eingenommen"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken"
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.category",
                "path": "MedicationStatement.category",
                "short": "Kategorie",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Kategorie"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Category"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Eine Kategorie, die dem Medikationseintrag zugeordnet ist.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Eine Kategorie, die dem Medikationseintrag zugeordnet ist."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "A category assigned to the medication statement."
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.category.coding",
                "path": "MedicationStatement.category.coding",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "pattern",
                            "path": "$this"
                        }
                    ],
                    "rules": "open"
                }
            },
            {
                "id": "MedicationStatement.category.coding:usageCategory",
                "path": "MedicationStatement.category.coding",
                "sliceName": "usageCategory",
                "short": "Kategorie Anwendungsbereich",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Kategorie Anwendungsbereich"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Usage Category"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Kategorie, die den Anwendungsbereich des Medikationseintrags beschreibt.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Kategorie, die den Anwendungsbereich des Medikationseintrags beschreibt."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Usage Category for the medication statement."
                                }
                            ]
                        }
                    ]
                },
                "min": 0,
                "max": "*",
                "patternCoding": {
                    "system": "http://terminology.hl7.org/CodeSystem/medication-statement-category"
                },
                "binding": {
                    "strength": "required",
                    "valueSet": "http://hl7.org/fhir/ValueSet/medication-statement-category"
                }
            },
            {
                "id": "MedicationStatement.category.coding:contextCode",
                "path": "MedicationStatement.category.coding",
                "sliceName": "contextCode",
                "short": "Kategorie Kontext",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Kategorie Kontext"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Context Category"
                                }
                            ]
                        }
                    ]
                },
                "definition": "ambulanter Kontakt | stationärer Aufenthalt | stationäre Aufnahme | stationäre Entlassung",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "ambulanter Kontakt | stationärer Aufenthalt | stationäre Aufnahme | stationäre Entlassung"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "outpatient contact | inpatient stay | inpatient admission | inpatient discharge"
                                }
                            ]
                        }
                    ]
                },
                "min": 0,
                "max": "1",
                "patternCoding": {
                    "system": "http://ihe-d.de/CodeSystems/FallkontextBeiDokumentenerstellung"
                },
                "binding": {
                    "strength": "required",
                    "valueSet": "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/ValueSet/fallkontext"
                }
            },
            {
                "id": "MedicationStatement.medication[x]",
                "path": "MedicationStatement.medication[x]",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "type",
                            "path": "$this"
                        }
                    ],
                    "rules": "open"
                },
                "short": "Medikation",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Medikation"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Medication"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Das Medikament, welches Gegenstand des Eintrags ist. Code oder Referenz auf Medication-Objekt.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Medikation, welche Gegenstand des Eintrags ist. Code oder Referenz auf Medication-Objekt."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "The medication that the statement is about. Code or a reference to a Medication resource."
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.medication[x]:medicationReference",
                "path": "MedicationStatement.medication[x]",
                "sliceName": "medicationReference",
                "short": "Medikation Referenz",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Medikation Referenz"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Medication Reference"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Referenz auf ein Medication-Ressource.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Referenz auf eine Medication-Ressource."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Reference to a Medication resource."
                                }
                            ]
                        }
                    ]
                },
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/Medication"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.medication[x]:medicationCodeableConcept",
                "path": "MedicationStatement.medication[x]",
                "sliceName": "medicationCodeableConcept",
                "short": "Medikation Code",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Medikation Code"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Medication code"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Code für das Medikament, welches Gegenstand des Eintrags ist.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Code für das Medikament, welches Gegenstand des Eintrags ist."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Code for the medication that the statement is about."
                                }
                            ]
                        }
                    ]
                },
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "CodeableConcept"
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding",
                "path": "MedicationStatement.medication[x].coding",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "pattern",
                            "path": "$this"
                        }
                    ],
                    "rules": "open"
                },
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer",
                "path": "MedicationStatement.medication[x].coding",
                "sliceName": "Pharmazentralnummer",
                "short": "PZN Code",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "PZN Code"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "PZN code"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Ein Verweis auf einen von der Pharmazentralnummer (PZN) definierten Code",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Ein Verweis auf einen von der Pharmazentralnummer definierten Code"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "A reference to a code defined by Pharmazentralnummer"
                                }
                            ]
                        }
                    ]
                },
                "min": 0,
                "max": "*",
                "patternCoding": {
                    "system": "http://fhir.de/CodeSystem/ifa/pzn"
                },
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "http://fhir.de/ValueSet/ifa/pzn"
                }
            },
            {
                "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.system",
                "path": "MedicationStatement.medication[x].coding.system",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.code",
                "path": "MedicationStatement.medication[x].coding.code",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe",
                "path": "MedicationStatement.medication[x].coding",
                "sliceName": "atcClassDe",
                "short": "ATC Klassifikation deutsche Version",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "ATC Code"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "ATC code"
                                }
                            ]
                        }
                    ]
                },
                "definition": "ATC-Codes für Fertigarzneimittel bspw. von Kombiprodukten",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Ein Verweis auf einen von der deutschen Fassung der Anatomisch-Therapeutisch-Chemischen Klassifikation definierten Code"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "A reference to a code defined by the German edition of the Anatomical Therapeutic Chemical classification system"
                                }
                            ]
                        }
                    ]
                },
                "min": 0,
                "max": "*",
                "patternCoding": {
                    "system": "http://fhir.de/CodeSystem/bfarm/atc"
                },
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "http://fhir.de/ValueSet/bfarm/atc"
                }
            },
            {
                "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe.system",
                "path": "MedicationStatement.medication[x].coding.system",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe.code",
                "path": "MedicationStatement.medication[x].coding.code",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassEn",
                "path": "MedicationStatement.medication[x].coding",
                "sliceName": "atcClassEn",
                "short": "Anatomical Therapeutic Chemical Classification System",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "ATC WHO Code"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "ATC WHO code"
                                }
                            ]
                        }
                    ]
                },
                "definition": "ATC Classification International WHO Version",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Ein Verweis auf einen von der WHO Anatomisch-Therapeutisch-Chemischen Klassifikation definierten Code"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "A reference to a code defined by the WHO edition of the Anatomical Therapeutic Chemical classification system"
                                }
                            ]
                        }
                    ]
                },
                "min": 0,
                "max": "*",
                "patternCoding": {
                    "system": "http://www.whocc.no/atc"
                },
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassEn.system",
                "path": "MedicationStatement.medication[x].coding.system",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassEn.code",
                "path": "MedicationStatement.medication[x].coding.code",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.medication[x]:medicationCodeableConcept.text",
                "path": "MedicationStatement.medication[x].text",
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.subject",
                "path": "MedicationStatement.subject",
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.context",
                "path": "MedicationStatement.context",
                "short": "Kontext",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Kontext"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Context"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Fall oder Kontakt in Verbindung mit dem Medikationseintrag",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Fall oder Kontakt in Verbindung mit dem Medikationseintrag"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Encounter / Episode associated with MedicationStatement"
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.effective[x]",
                "path": "MedicationStatement.effective[x]",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "type",
                            "path": "$this"
                        }
                    ],
                    "ordered": false,
                    "rules": "open"
                },
                "short": "Zeitpunkt oder Zeitraum",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Zeitpunkt oder Zeitraum"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Date or period"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Die Zeitspanne, in der angegeben wird, dass der Patient das Medikament eingenommen hat oder einnehmen wird.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Die Zeitspanne, in der angegeben wird, dass der Patient das Medikament eingenommen hat oder einnehmen wird."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "The interval of time during which it is being asserted that the patient is/was/will be taking the medication."
                                }
                            ]
                        }
                    ]
                },
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.effective[x]:effectiveDateTime",
                "path": "MedicationStatement.effective[x]",
                "sliceName": "effectiveDateTime",
                "short": "Zeitpunkt",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Zeitpunkt"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Date time"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Der Zeitpunkt, an dem der Patient das Medikament eingenommen hat oder einnehmen wird.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Der Zeitpunkt, an dem der Patient das Medikament eingenommen hat oder einnehmen wird."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "The date time when the medication was or will be taken."
                                }
                            ]
                        }
                    ]
                },
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "dateTime"
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.effective[x]:effectivePeriod",
                "path": "MedicationStatement.effective[x]",
                "sliceName": "effectivePeriod",
                "short": "Zeitraum",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Zeitraum"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Period"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Der Zeitraum, in dem der Patient das Medikament eingenommen hat oder einnehmen wird.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Der Zeitraum, in dem der Patient das Medikament eingenommen hat oder einnehmen wird."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "The interval of time during which the patient is/was/will be taking the medication."
                                }
                            ]
                        }
                    ]
                },
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Period"
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dateAsserted",
                "path": "MedicationStatement.dateAsserted",
                "short": "Datum Bestätigung",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Datum Bestätigung"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Date asserted"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Das Datum, an dem der Medikationseintrag von der Informationsquelle bestätigt wurde.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Das Datum, an dem der Medikationseintrag von der Informationsquelle bestätigt wurde."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "The date when the medication statement was asserted by the information source."
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.informationSource",
                "path": "MedicationStatement.informationSource",
                "short": "Informationsquelle",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Informationsquelle"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Information source"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Die Person oder Organisation, die die Information über die Einnahme dieses Medikaments bereitgestellt hat.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Die Person oder Organisation, die die Information über die Einnahme dieses Medikaments bereitgestellt hat."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "The person or organization that provided the information about the taking of this medication."
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.reasonCode",
                "path": "MedicationStatement.reasonCode",
                "short": "Grund Code",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Grund Code"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Reason code"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Grund für den Medikationseintrag als Code.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Grund für den Medikationseintrag als Code."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Reason for the medication statement as a code."
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.reasonReference",
                "path": "MedicationStatement.reasonReference",
                "short": "Grund Referenz",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Grund Referenz"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Reason reference"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Grund für den Medikationseintrag als Referenz auf Condition- oder Observation-Ressource.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Grund für den Medikationseintrag als Referenz auf Condition- oder Observation-Ressource."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Condition or observation that supports why the medication is being/was taken"
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.note",
                "path": "MedicationStatement.note",
                "short": "Hinweis",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Hinweis"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Note"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Zusätzliche Informationen zum Medikationseintrag als Freitext.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Zusätzliche Informationen zum Medikationseintrag als Freitext."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Additional information about the medication statement as free text."
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage",
                "path": "MedicationStatement.dosage",
                "short": "Dosierung",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Dosierung"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Dosage"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Details zur Dosierung des Medikamentes.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Details zur Dosierung des Medikamentes."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Details of how the medication is/was taken or should be taken."
                                }
                            ]
                        }
                    ]
                },
                "constraint":  [
                    {
                        "key": "dsg-1",
                        "severity": "error",
                        "human": "If present, dosage must include free text or structured data",
                        "expression": "text.exists() or doseAndRate.exists()",
                        "source": "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationStatement"
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.sequence",
                "path": "MedicationStatement.dosage.sequence",
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.text",
                "path": "MedicationStatement.dosage.text",
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.timing",
                "path": "MedicationStatement.dosage.timing",
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.timing.event",
                "path": "MedicationStatement.dosage.timing.event",
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.timing.repeat",
                "path": "MedicationStatement.dosage.timing.repeat",
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.timing.repeat.bounds[x]",
                "path": "MedicationStatement.dosage.timing.repeat.bounds[x]",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "type",
                            "path": "$this"
                        }
                    ],
                    "ordered": false,
                    "rules": "open"
                }
            },
            {
                "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration",
                "path": "MedicationStatement.dosage.timing.repeat.bounds[x]",
                "sliceName": "boundsDuration",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Duration"
                    }
                ],
                "patternDuration": {
                    "system": "http://unitsofmeasure.org"
                },
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.value",
                "path": "MedicationStatement.dosage.timing.repeat.bounds[x].value",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.unit",
                "path": "MedicationStatement.dosage.timing.repeat.bounds[x].unit",
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.system",
                "path": "MedicationStatement.dosage.timing.repeat.bounds[x].system",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.code",
                "path": "MedicationStatement.dosage.timing.repeat.bounds[x].code",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange",
                "path": "MedicationStatement.dosage.timing.repeat.bounds[x]",
                "sliceName": "boundsRange",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Range"
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low",
                "path": "MedicationStatement.dosage.timing.repeat.bounds[x].low",
                "patternQuantity": {
                    "system": "http://unitsofmeasure.org"
                },
                "mustSupport": true
            },
            {
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                "mustSupport": true
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                "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.unit",
                "path": "MedicationStatement.dosage.timing.repeat.bounds[x].low.unit",
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                "path": "MedicationStatement.dosage.timing.repeat.bounds[x].low.system",
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                "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.low.code",
                "path": "MedicationStatement.dosage.timing.repeat.bounds[x].low.code",
                "min": 1,
                "mustSupport": true
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                "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high",
                "path": "MedicationStatement.dosage.timing.repeat.bounds[x].high",
                "patternQuantity": {
                    "system": "http://unitsofmeasure.org"
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                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.value",
                "path": "MedicationStatement.dosage.timing.repeat.bounds[x].high.value",
                "min": 1,
                "mustSupport": true
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                "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.unit",
                "path": "MedicationStatement.dosage.timing.repeat.bounds[x].high.unit",
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.system",
                "path": "MedicationStatement.dosage.timing.repeat.bounds[x].high.system",
                "min": 1,
                "mustSupport": true
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                "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsRange.high.code",
                "path": "MedicationStatement.dosage.timing.repeat.bounds[x].high.code",
                "min": 1,
                "mustSupport": true
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                "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod",
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                "sliceName": "boundsPeriod",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Period"
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod.start",
                "path": "MedicationStatement.dosage.timing.repeat.bounds[x].start",
                "mustSupport": true
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                "id": "MedicationStatement.dosage.timing.repeat.bounds[x]:boundsPeriod.end",
                "path": "MedicationStatement.dosage.timing.repeat.bounds[x].end",
                "mustSupport": true
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                "id": "MedicationStatement.dosage.timing.repeat.count",
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                "id": "MedicationStatement.dosage.timing.repeat.countMax",
                "path": "MedicationStatement.dosage.timing.repeat.countMax",
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            },
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                "id": "MedicationStatement.dosage.timing.repeat.duration",
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                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.timing.repeat.durationMax",
                "path": "MedicationStatement.dosage.timing.repeat.durationMax",
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            },
            {
                "id": "MedicationStatement.dosage.timing.repeat.durationUnit",
                "path": "MedicationStatement.dosage.timing.repeat.durationUnit",
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.timing.repeat.frequency",
                "path": "MedicationStatement.dosage.timing.repeat.frequency",
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.timing.repeat.frequencyMax",
                "path": "MedicationStatement.dosage.timing.repeat.frequencyMax",
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.timing.repeat.period",
                "path": "MedicationStatement.dosage.timing.repeat.period",
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.timing.repeat.periodMax",
                "path": "MedicationStatement.dosage.timing.repeat.periodMax",
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.timing.repeat.periodUnit",
                "path": "MedicationStatement.dosage.timing.repeat.periodUnit",
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.timing.repeat.dayOfWeek",
                "path": "MedicationStatement.dosage.timing.repeat.dayOfWeek",
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.timing.repeat.timeOfDay",
                "path": "MedicationStatement.dosage.timing.repeat.timeOfDay",
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.timing.repeat.when",
                "path": "MedicationStatement.dosage.timing.repeat.when",
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.timing.repeat.offset",
                "path": "MedicationStatement.dosage.timing.repeat.offset",
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.asNeeded[x]",
                "path": "MedicationStatement.dosage.asNeeded[x]",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "type",
                            "path": "$this"
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                    ],
                    "ordered": false,
                    "rules": "open"
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                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.asNeeded[x]:asNeededBoolean",
                "path": "MedicationStatement.dosage.asNeeded[x]",
                "sliceName": "asNeededBoolean",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "boolean"
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                ],
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.asNeeded[x]:asNeededCodeableConcept",
                "path": "MedicationStatement.dosage.asNeeded[x]",
                "sliceName": "asNeededCodeableConcept",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "CodeableConcept"
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                ],
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.site",
                "path": "MedicationStatement.dosage.site",
                "short": "Verabreichungsort",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Verabreichungsort"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Site of administration"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Körperstelle, an der das Medikament verabreicht wurde/wird oder werden soll.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Körperstelle, an der das Medikament verabreicht wurde/wird oder werden soll."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Anatomic site where the medication was/is or should be administered."
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.site.coding",
                "path": "MedicationStatement.dosage.site.coding",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "pattern",
                            "path": "$this"
                        }
                    ],
                    "rules": "open"
                },
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.site.coding:SNOMED",
                "path": "MedicationStatement.dosage.site.coding",
                "sliceName": "SNOMED",
                "short": "SNOMED CT Code",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "SNOMED CT Code"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "SNOMED CT code"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Ein Verweis auf einen von SNOMED CT definierten Code",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Ein Verweis auf einen von SNOMED CT definierten Code"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "A reference to a code defined by SNOMED CT"
                                }
                            ]
                        }
                    ]
                },
                "min": 0,
                "max": "*",
                "patternCoding": {
                    "system": "http://snomed.info/sct"
                },
                "mustSupport": true,
                "binding": {
                    "strength": "example",
                    "valueSet": "http://hl7.org/fhir/uv/ips/ValueSet/target-site-uv-ips",
                    "description": "target site IPS"
                }
            },
            {
                "id": "MedicationStatement.dosage.site.coding:SNOMED.system",
                "path": "MedicationStatement.dosage.site.coding.system",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.site.coding:SNOMED.code",
                "path": "MedicationStatement.dosage.site.coding.code",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.route",
                "path": "MedicationStatement.dosage.route",
                "short": "Verabreichungsweg",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Verabreichungsweg"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Route of administration"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Der Weg, auf dem das Medikament verabreicht wurde/wird oder werden soll.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Der Weg, auf dem das Medikament verabreicht wurde/wird oder werden soll."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "How drug was administered or should be administered."
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.route.coding",
                "path": "MedicationStatement.dosage.route.coding",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "pattern",
                            "path": "$this"
                        }
                    ],
                    "rules": "open"
                },
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.route.coding:EDQM",
                "path": "MedicationStatement.dosage.route.coding",
                "sliceName": "EDQM",
                "short": "EDQM Code",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "EDQM Code"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "EDQM code"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Ein Verweis auf einen durch EDQM Standard Terms definierten Code",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Ein Verweis auf einen durch EDQM Standard Terms definierten Code"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "A reference to a code defined by EDQM Standard Terms"
                                }
                            ]
                        }
                    ]
                },
                "min": 0,
                "max": "1",
                "patternCoding": {
                    "system": "http://standardterms.edqm.eu"
                },
                "mustSupport": true,
                "binding": {
                    "strength": "preferred",
                    "valueSet": "http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration",
                    "description": "EDQM Standard Terms"
                }
            },
            {
                "id": "MedicationStatement.dosage.route.coding:EDQM.system",
                "path": "MedicationStatement.dosage.route.coding.system",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.route.coding:EDQM.code",
                "path": "MedicationStatement.dosage.route.coding.code",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.route.coding:SNOMED",
                "path": "MedicationStatement.dosage.route.coding",
                "sliceName": "SNOMED",
                "short": "SNOMED CT Code",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "SNOMED CT Code"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "SNOMED CT code"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Ein Verweis auf einen von SNOMED CT definierten Code",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Ein Verweis auf einen von SNOMED CT definierten Code"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "A reference to a code defined by SNOMED CT"
                                }
                            ]
                        }
                    ]
                },
                "min": 0,
                "max": "1",
                "patternCoding": {
                    "system": "http://snomed.info/sct"
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                "mustSupport": true
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            {
                "id": "MedicationStatement.dosage.route.coding:SNOMED.system",
                "path": "MedicationStatement.dosage.route.coding.system",
                "min": 1,
                "mustSupport": true
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            {
                "id": "MedicationStatement.dosage.route.coding:SNOMED.code",
                "path": "MedicationStatement.dosage.route.coding.code",
                "min": 1,
                "mustSupport": true
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            {
                "id": "MedicationStatement.dosage.doseAndRate",
                "path": "MedicationStatement.dosage.doseAndRate",
                "mustSupport": true
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            {
                "id": "MedicationStatement.dosage.doseAndRate.dose[x]",
                "path": "MedicationStatement.dosage.doseAndRate.dose[x]",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "type",
                            "path": "$this"
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                    ],
                    "ordered": false,
                    "rules": "open"
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                "mustSupport": true
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            {
                "id": "MedicationStatement.dosage.doseAndRate.dose[x]:doseRange",
                "path": "MedicationStatement.dosage.doseAndRate.dose[x]",
                "sliceName": "doseRange",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Range"
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                ],
                "mustSupport": true
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            {
                "id": "MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.low",
                "path": "MedicationStatement.dosage.doseAndRate.dose[x].low",
                "patternQuantity": {
                    "system": "http://unitsofmeasure.org"
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                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.low.value",
                "path": "MedicationStatement.dosage.doseAndRate.dose[x].low.value",
                "min": 1,
                "mustSupport": true
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            {
                "id": "MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.low.unit",
                "path": "MedicationStatement.dosage.doseAndRate.dose[x].low.unit",
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.low.system",
                "path": "MedicationStatement.dosage.doseAndRate.dose[x].low.system",
                "min": 1,
                "mustSupport": true
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            {
                "id": "MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.low.code",
                "path": "MedicationStatement.dosage.doseAndRate.dose[x].low.code",
                "min": 1,
                "mustSupport": true
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            {
                "id": "MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.high",
                "path": "MedicationStatement.dosage.doseAndRate.dose[x].high",
                "patternQuantity": {
                    "system": "http://unitsofmeasure.org"
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            },
            {
                "id": "MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.high.value",
                "path": "MedicationStatement.dosage.doseAndRate.dose[x].high.value",
                "min": 1,
                "mustSupport": true
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            {
                "id": "MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.high.unit",
                "path": "MedicationStatement.dosage.doseAndRate.dose[x].high.unit",
                "mustSupport": true
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            {
                "id": "MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.high.system",
                "path": "MedicationStatement.dosage.doseAndRate.dose[x].high.system",
                "min": 1,
                "mustSupport": true
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            {
                "id": "MedicationStatement.dosage.doseAndRate.dose[x]:doseRange.high.code",
                "path": "MedicationStatement.dosage.doseAndRate.dose[x].high.code",
                "min": 1,
                "mustSupport": true
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            {
                "id": "MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity",
                "path": "MedicationStatement.dosage.doseAndRate.dose[x]",
                "sliceName": "doseQuantity",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Quantity",
                        "profile":  [
                            "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
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                    }
                ],
                "patternQuantity": {
                    "system": "http://unitsofmeasure.org"
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                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.value",
                "path": "MedicationStatement.dosage.doseAndRate.dose[x].value",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.unit",
                "path": "MedicationStatement.dosage.doseAndRate.dose[x].unit",
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.system",
                "path": "MedicationStatement.dosage.doseAndRate.dose[x].system",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.code",
                "path": "MedicationStatement.dosage.doseAndRate.dose[x].code",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.doseAndRate.rate[x]",
                "path": "MedicationStatement.dosage.doseAndRate.rate[x]",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "type",
                            "path": "$this"
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                    ],
                    "ordered": false,
                    "rules": "open"
                },
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio",
                "path": "MedicationStatement.dosage.doseAndRate.rate[x]",
                "sliceName": "rateRatio",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Ratio"
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.numerator",
                "path": "MedicationStatement.dosage.doseAndRate.rate[x].numerator",
                "patternQuantity": {
                    "system": "http://unitsofmeasure.org"
                },
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.numerator.value",
                "path": "MedicationStatement.dosage.doseAndRate.rate[x].numerator.value",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.numerator.unit",
                "path": "MedicationStatement.dosage.doseAndRate.rate[x].numerator.unit",
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.numerator.system",
                "path": "MedicationStatement.dosage.doseAndRate.rate[x].numerator.system",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.numerator.code",
                "path": "MedicationStatement.dosage.doseAndRate.rate[x].numerator.code",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.denominator",
                "path": "MedicationStatement.dosage.doseAndRate.rate[x].denominator",
                "patternQuantity": {
                    "system": "http://unitsofmeasure.org"
                },
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.denominator.value",
                "path": "MedicationStatement.dosage.doseAndRate.rate[x].denominator.value",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.denominator.unit",
                "path": "MedicationStatement.dosage.doseAndRate.rate[x].denominator.unit",
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.denominator.system",
                "path": "MedicationStatement.dosage.doseAndRate.rate[x].denominator.system",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.doseAndRate.rate[x]:rateRatio.denominator.code",
                "path": "MedicationStatement.dosage.doseAndRate.rate[x].denominator.code",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.doseAndRate.rate[x]:rateRange",
                "path": "MedicationStatement.dosage.doseAndRate.rate[x]",
                "sliceName": "rateRange",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Range"
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.low",
                "path": "MedicationStatement.dosage.doseAndRate.rate[x].low",
                "patternQuantity": {
                    "system": "http://unitsofmeasure.org"
                },
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.low.value",
                "path": "MedicationStatement.dosage.doseAndRate.rate[x].low.value",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.low.unit",
                "path": "MedicationStatement.dosage.doseAndRate.rate[x].low.unit",
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.low.system",
                "path": "MedicationStatement.dosage.doseAndRate.rate[x].low.system",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.low.code",
                "path": "MedicationStatement.dosage.doseAndRate.rate[x].low.code",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.high",
                "path": "MedicationStatement.dosage.doseAndRate.rate[x].high",
                "patternQuantity": {
                    "system": "http://unitsofmeasure.org"
                },
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.high.value",
                "path": "MedicationStatement.dosage.doseAndRate.rate[x].high.value",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.high.unit",
                "path": "MedicationStatement.dosage.doseAndRate.rate[x].high.unit",
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.high.system",
                "path": "MedicationStatement.dosage.doseAndRate.rate[x].high.system",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.doseAndRate.rate[x]:rateRange.high.code",
                "path": "MedicationStatement.dosage.doseAndRate.rate[x].high.code",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.doseAndRate.rate[x]:rateQuantity",
                "path": "MedicationStatement.dosage.doseAndRate.rate[x]",
                "sliceName": "rateQuantity",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Quantity",
                        "profile":  [
                            "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
                        ]
                    }
                ],
                "patternQuantity": {
                    "system": "http://unitsofmeasure.org"
                },
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.doseAndRate.rate[x]:rateQuantity.value",
                "path": "MedicationStatement.dosage.doseAndRate.rate[x].value",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.doseAndRate.rate[x]:rateQuantity.unit",
                "path": "MedicationStatement.dosage.doseAndRate.rate[x].unit",
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.doseAndRate.rate[x]:rateQuantity.system",
                "path": "MedicationStatement.dosage.doseAndRate.rate[x].system",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.doseAndRate.rate[x]:rateQuantity.code",
                "path": "MedicationStatement.dosage.doseAndRate.rate[x].code",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.maxDosePerPeriod",
                "path": "MedicationStatement.dosage.maxDosePerPeriod",
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.maxDosePerPeriod.numerator",
                "path": "MedicationStatement.dosage.maxDosePerPeriod.numerator",
                "patternQuantity": {
                    "system": "http://unitsofmeasure.org"
                },
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.maxDosePerPeriod.numerator.value",
                "path": "MedicationStatement.dosage.maxDosePerPeriod.numerator.value",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.maxDosePerPeriod.numerator.unit",
                "path": "MedicationStatement.dosage.maxDosePerPeriod.numerator.unit",
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.maxDosePerPeriod.numerator.system",
                "path": "MedicationStatement.dosage.maxDosePerPeriod.numerator.system",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.maxDosePerPeriod.numerator.code",
                "path": "MedicationStatement.dosage.maxDosePerPeriod.numerator.code",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.maxDosePerPeriod.denominator",
                "path": "MedicationStatement.dosage.maxDosePerPeriod.denominator",
                "patternQuantity": {
                    "system": "http://unitsofmeasure.org"
                },
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.maxDosePerPeriod.denominator.value",
                "path": "MedicationStatement.dosage.maxDosePerPeriod.denominator.value",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.maxDosePerPeriod.denominator.unit",
                "path": "MedicationStatement.dosage.maxDosePerPeriod.denominator.unit",
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.maxDosePerPeriod.denominator.system",
                "path": "MedicationStatement.dosage.maxDosePerPeriod.denominator.system",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.maxDosePerPeriod.denominator.code",
                "path": "MedicationStatement.dosage.maxDosePerPeriod.denominator.code",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.maxDosePerAdministration",
                "path": "MedicationStatement.dosage.maxDosePerAdministration",
                "patternQuantity": {
                    "system": "http://unitsofmeasure.org"
                },
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.maxDosePerAdministration.value",
                "path": "MedicationStatement.dosage.maxDosePerAdministration.value",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.maxDosePerAdministration.unit",
                "path": "MedicationStatement.dosage.maxDosePerAdministration.unit",
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.maxDosePerAdministration.system",
                "path": "MedicationStatement.dosage.maxDosePerAdministration.system",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "MedicationStatement.dosage.maxDosePerAdministration.code",
                "path": "MedicationStatement.dosage.maxDosePerAdministration.code",
                "min": 1,
                "mustSupport": true
            }
        ]
    }
}

MII PR Medikation MedicationStatement

FHIR	Datensatz	Erklaerung
MedicationStatement	BasismodulMedikation.Medikationseintrag	Medikationseintrag: Dokumentiert die Verschreibung, Gabe oder Einnahme zu einem oder mehreren Medikamenten z.B. in einem Medikationsplan.
MedicationStatement.identifier	BasismodulMedikation.Medikationseintrag.Identifikation	Identifikator des Medikationseintrags
MedicationStatement.status	BasismodulMedikation.Medikationseintrag.Status	Prozess-Status des beschriebenen Medikationsstatus
MedicationStatement.medication[x]	BasismodulMedikation.Medikationseintrag.Medikation[x]	Definition eines Medikamentes zum Zwecke der Verschreibung, Abgabe und Verabreichung. Es kann sich um ein fertiges Arzneimittelprodukt, einen Wirkstoff oder eine Rezeptur handeln.
MedicationStatement.effective[x]	BasismodulMedikation.Medikationseintrag.Einnahmedauer	Einnahmedauer für eine angeordnete, geplante oder durchgeführte Medikamentengabe. Bei Einzel-Vergabe kann die Dauer auch punktweise (Null) sein.
MedicationStatement.effectivePeriod.start	BasismodulMedikation.Medikationseintrag.Einnahmedauer.StartzeitpunktEinnahme	Startzeitpunkt der Einnahme
MedicationStatement.effectivePeriod.end	BasismodulMedikation.Medikationseintrag.Einnahmedauer.EndzeitpunktEinnahme	Endzeitpunkt der Einnahme
MedicationStatement.effectivePeriod	BasismodulMedikation.Medikationseintrag.Einnahmedauer.DauerDerEinnahme	Dauer der Einnahme
MedicationStatement.dosage	BasismodulMedikation.Medikationseintrag.Einnahmedauer.Dosierung	Gibt an, wie das Medikament vom Patienten eingenommen wird/wurde oder werden soll.
MedicationStatement.dosage.sequence	BasismodulMedikation.Medikationseintrag.Einnahmedauer.Dosierung.Reihenfolge	Sequenznummer des Dosierungseintrags. Bei mehreren Einträgen zur Dosierung wird damit die Reihenfolge (Priorität) der Einträge festgelegt.
MedicationStatement.dosage.text	BasismodulMedikation.Medikationseintrag.Einnahmedauer.Dosierung.Freitext	Textueller Eintrag der Dosierung
MedicationStatement.dosage.timing	BasismodulMedikation.Medikationseintrag.Einnahmedauer.Dosierung.Zeitangabe	Ausführliche Beispiele finden sich unter http://wiki.hl7.de/index.php?title=cdamedp:Dosierbeispiele Nicht vorhanden bei Vergabe, weil bei Vergabe kein zukünftiges Dosierungs-Schema angegeben werden muss.
MedicationStatement.dosage.timing.bounds[x]	BasismodulMedikation.Medikationseintrag.Einnahmedauer.Dosierung.Zeitangabe.Einnahmedauer	Einnahmedauer für eine angeordnete, geplante oder durchgeführte Medikamentengabe. Bei Einzel-Vergabe kann die Dauer auch punktweise (Null) sein.
MedicationStatement.dosage.timing.boundsPeriod.start	BasismodulMedikation.Medikationseintrag.Einnahmedauer.Dosierung.Zeitangabe.Einnahmedauer.StartzeitpunktEinnahme	Startzeitpunkt der Einnahme
MedicationStatement.dosage.timing.boundsPeriod.end	BasismodulMedikation.Medikationseintrag.Einnahmedauer.Dosierung.Zeitangabe.Einnahmedauer.EndzeitpunktEinnahme	Endzeitpunkt der Einnahme
MedicationStatement.dosage.timing.boundsDuration	BasismodulMedikation.Medikationseintrag.Einnahmedauer.Dosierung.Zeitangabe.Einnahmedauer.DauerDerEinnahme	Dauer der Einnahme
MedicationStatement.dosage.timing.event	BasismodulMedikation.Medikationseintrag.Einnahmedauer.Dosierung.Zeitangabe.Zeitpunkt	Exakter Zeitpunkt, zu dem eine Medikation gegeben werden soll.
MedicationStatement.dosage.timing.repeat	BasismodulMedikation.Medikationseintrag.Einnahmedauer.Dosierung.Zeitangabe.EreignisbezogeneWiederholung	Gibt ein periodisches Zeitintervall an, in dem die Wiederholung auf Aktivitäten des täglichen Lebens oder anderen wichtigen Ereignissen basiert, die zeitabhängig sind, jedoch nicht vollständig von der Zeit bestimmt werden
MedicationStatement.dosage.timing.repeat.when	BasismodulMedikation.Medikationseintrag.Einnahmedauer.Dosierung.Zeitangabe.EreignisbezogeneWiederholung.Ereignis	Ereignis, z. B. morgens, mittags, abends, zur Nacht
MedicationStatement.dosage.timing.repeat.offset	BasismodulMedikation.Medikationseintrag.Einnahmedauer.Dosierung.Zeitangabe.EreignisbezogeneWiederholung.Offset	Offset zum Ereignis, z. B. 30 Minuten vorher
MedicationStatement.dosage.timing.repeat	BasismodulMedikation.Medikationseintrag.Einnahmedauer.Dosierung.Zeitangabe.PeriodischesIntervall	Ein Zeitintervall, das sich periodisch wiederholt. Periodische Intervalle haben zwei Eigenschaften, Phase und Periode. Die Phase gibt den "Typ" Intervall" an, der sich jede Periode wiederholt. Wiederholungsintervall (periodische Intervallsequenz), gibt an die Dauer jedes Vorkommens bzw. der Zeit zwischen den Vorkommnissen (period) der Ankerzeitpunkt (Startzeitpunkt), an dem die periodische Intervallsequenz beginnt (phase).
MedicationStatement.dosage.timing.event	BasismodulMedikation.Medikationseintrag.Einnahmedauer.Dosierung.Zeitangabe.PeriodischesIntervall.Phase	Ankerzeitpunkt (Startzeitpunkt), an dem die periodische Intervallsequenz beginnt
MedicationStatement.dosage.timing.repeat.(boundsDuration\|boundsPeriod)	BasismodulMedikation.Medikationseintrag.Einnahmedauer.Dosierung.Zeitangabe.PeriodischesIntervall.Periode[x]	Dauer jedes Vorkommens bzw. der Zeit zwischen den Vorkommnissen
MedicationStatement.dosage.asNeeded[x]	BasismodulMedikation.Medikationseintrag.Einnahmedauer.Dosierung.EinnahmeBeiBedarf[x]	Einnahme des Medikaments bei Bedarf
MedicationStatement.dosage.(site\|route\|method)	BasismodulMedikation.Medikationseintrag.Einnahmedauer.Dosierung.ArtDerAnwendung	Art der Anwendung des Arzneimittels EDQM passende Value Sets. Pharmazeutische Anwendung dekomponiert in drei Eigenschaften: Art der Anwendung, Weg der Anwendung und Ort der Anwendung.
MedicationStatement.dosage.doseAndRate	BasismodulMedikation.Medikationseintrag.Einnahmedauer.Dosierung.Dosis[x]	Kann angegeben sein als Mengenangabe (SimpleQuantity, Range) oder als Menge pro Zeiteinheit (Ratio). Möglicherweise wichtig sind Maximaldosierungen innerhalb einer Zeiteinheit oder max. Lebenszeitdosis.
MedicationStatement.note	BasismodulMedikation.Medikationseintrag.Hinweis	Hinweistext zu diesem Medikament
MedicationStatement.(reasonCode\|reasonReference)	BasismodulMedikation.Medikationseintrag.Behandlungsgrund[x]	Behandlungsgrund kann ein Problem, Symptom oder eine Diagnose (Condition) sein.
MedicationStatement.basedOn	BasismodulMedikation.Medikationseintrag.BezugZuVerordnung	Bezug zu Verordnung. Hier können je nach Anforderung unterschiedliche Bezüge zum Fall, Behandlungsplan etc. hergestellt werden.
MedicationStatement.basedOn	BasismodulMedikation.Medikationseintrag.BezugZuAbgabe	Bezug zu Abgabe
MedicationStatement.subject	BasismodulMedikation.Medikationseintrag.BezugZumPatient	Die Person, die das Medikament einnimmt/eingesetzt hat.
MedicationStatement.context	BasismodulMedikation.Medikationseintrag.BezugZumFall	Der Besuch, die Aufnahme oder ein anderer Kontakt zwischen Patient und Leistungserbringer, bei dem die Verabreichung des Medikaments erfolgt ist.
MedicationStatement.dateAsserted	BasismodulMedikation.Medikationseintrag.DatumDesEintrags	Datum des Dokumentationseintrages
MedicationStatement.informationSource	BasismodulMedikation.Medikationseintrag.AutorInformantDesEintrags	Zuständiger Health Professional, der den Vorgang angelegt hat bzw. Informationen zu dem Vorgang bereit gestellt hat.

Suchparameter

Folgende Suchparameter sind für das Modul Medikation relevant, auch in Kombination:

Der Suchparameter _id MUSS unterstützt werden:

Beispiele:

GET [base]/MedicationStatement?_id=1234

Anwendungshinweise: Weitere Informationen zur Suche nach "_id" finden sich in der FHIR-Basisspezifikation - Abschnitt "Parameters for all resources".
Der Suchparameter "_profile" MUSS unterstützt werden:

Beispiele:

GET [base]/MedicationStatement?_profile=https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationStatement

Anwendungshinweise: Weitere Informationen zur Suche nach "_profile" finden sich in der FHIR-Basisspezifikation - Abschnitt "token".
Der Suchparameter "status" MUSS unterstützt werden:

Beispiele:

GET [base]/MedicationStatement?status=active

Anwendungshinweise: Weitere Informationen zur Suche nach "status" finden sich in der FHIR-Basisspezifikation - Abschnitt "token".
Der Suchparameter "category" MUSS unterstützt werden:

Beispiele:

GET [base]/MedicationStatement?category=urn:oid:1.3.6.1.4.1.19376.3.276.1.5.16|E210

Anwendungshinweise: Weitere Informationen zur Suche nach "category" finden sich in der FHIR-Basisspezifikation - Abschnitt "token".
Der Suchparameter "medication" MUSS unterstützt werden:

Beispiele:

GET [base]/MedicationStatement?medication=Medication/mii-exa-medikation-medication-caelyx

Anwendungshinweise: Weitere Informationen zur Suche nach "medication" finden sich in der FHIR-Basisspezifikation - Abschnitt "reference".
Der Suchparameter "code" MUSS unterstützt werden:

Beispiele:

GET [base]/MedicationStatement?code=http://fhir.de/CodeSystem/ifa/pzn|02532793

Anwendungshinweise: Weitere Informationen zur Suche nach "code" finden sich in der FHIR-Basisspezifikation - Abschnitt "token".
Der Suchparameter "subject" MUSS unterstützt werden:

Beispiele:

GET [base]/MedicationStatement?subject=Patient/example

Anwendungshinweise: Weitere Informationen zur Suche nach "subject" finden sich in der FHIR-Basisspezifikation - Abschnitt "reference".
Der Suchparameter "context" MUSS unterstützt werden:

Beispiele:

GET [base]/MedicationStatement?context=Encounter/example

Anwendungshinweise: Weitere Informationen zur Suche nach "context" finden sich in der FHIR-Basisspezifikation - Abschnitt "reference".
Der Suchparameter "effective" MUSS unterstützt werden:

Beispiele:

GET [base]/MedicationStatement?effective=2022-04-07

Anwendungshinweise: Weitere Informationen zur Suche nach "effective" finden sich in der FHIR-Basisspezifikation - Abschnitt "date".
Der Suchparameter "reason-reference" MUSS unterstützt werden:

Beispiele:

GET [base]/MedicationStatement?reason-reference=Observation/example

Anwendungshinweise: Weitere Informationen zur Suche nach "reason-reference" finden sich in der FHIR-Basisspezifikation - Abschnitt "reference".
Der Suchparameter "dosage-site" MUSS unterstützt werden:

Beispiele:

GET [base]/MedicationStatement?dosage-site=http://snomed.info/sct|9454009

Anwendungshinweise: Weitere Informationen zur Suche nach "dosage-site" finden sich in der FHIR-Basisspezifikation - Abschnitt "token".
Der Suchparameter "dosage-route" MUSS unterstützt werden:

Beispiele:

GET [base]/MedicationStatement?dosage-route=http://standardterms.edqm.eu|20045000

Anwendungshinweise: Weitere Informationen zur Suche nach "dosage-route" finden sich in der FHIR-Basisspezifikation - Abschnitt "token".
Der Suchparameter "doserange-low" MUSS unterstützt werden:

Beispiele:

GET [base]/MedicationStatement?doserange-low=2400|http://unitsofmeasure.org|mg

Anwendungshinweise: Weitere Informationen zur Suche nach "doserange-low" finden sich in der FHIR-Basisspezifikation - Abschnitt "quantity".
Der Suchparameter "doserange-high" MUSS unterstützt werden:

Beispiele:

GET [base]/MedicationStatement?doserange-high=2600|http://unitsofmeasure.org|mg

Anwendungshinweise: Weitere Informationen zur Suche nach "doserange-high" finden sich in der FHIR-Basisspezifikation - Abschnitt "quantity".
Der Suchparameter "doserange" MUSS unterstützt werden:

Beispiele:

GET [base]/MedicationStatement?doserange=2400|http://unitsofmeasure.org|mg$2600|http://unitsofmeasure.org|mg

Anwendungshinweise: Weitere Informationen zur Suche nach "doserange" finden sich in der FHIR-Basisspezifikation - Abschnitt "composite".
Der Suchparameter "dose-quantity" MUSS unterstützt werden:

Beispiele:

GET [base]/MedicationStatement?dose-quantity=2400|http://unitsofmeasure.org|mg

Anwendungshinweise: Weitere Informationen zur Suche nach "dose-quantity" finden sich in der FHIR-Basisspezifikation - Abschnitt "quantity".
Der Suchparameter "rateratio-numerator" MUSS unterstützt werden:

Beispiele:

GET [base]/MedicationStatement?rateratio-numerator=250|http://unitsofmeasure.org|mL

Anwendungshinweise: Weitere Informationen zur Suche nach "rateratio-numerator" finden sich in der FHIR-Basisspezifikation - Abschnitt "quantity".
Der Suchparameter "rateratio-denominator" MUSS unterstützt werden:

Beispiele:

GET [base]/MedicationStatement?rateratio-denominator=1|http://unitsofmeasure.org|h

Anwendungshinweise: Weitere Informationen zur Suche nach "rateratio-denominator" finden sich in der FHIR-Basisspezifikation - Abschnitt "quantity".
Der Suchparameter "rateratio" MUSS unterstützt werden:

Beispiele:

GET [base]/MedicationStatement?rateratio=250|http://unitsofmeasure.org|mL$1|http://unitsofmeasure.org|h

Anwendungshinweise: Weitere Informationen zur Suche nach "rateratio" finden sich in der FHIR-Basisspezifikation - Abschnitt "composite".
Der Suchparameter "raterange-low" MUSS unterstützt werden:

Beispiele:

GET [base]/MedicationStatement?raterange-low=2|http://unitsofmeasure.org|L/h

Anwendungshinweise: Weitere Informationen zur Suche nach "raterange-low" finden sich in der FHIR-Basisspezifikation - Abschnitt "quantity".
Der Suchparameter "raterange-high" MUSS unterstützt werden:

Beispiele:

GET [base]/MedicationStatement?raterange-high=5|http://unitsofmeasure.org|L/h

Anwendungshinweise: Weitere Informationen zur Suche nach "raterange-high" finden sich in der FHIR-Basisspezifikation - Abschnitt "quantity".
Der Suchparameter "raterange" MUSS unterstützt werden:

Beispiele:

GET [base]/MedicationStatement?raterange=2|http://unitsofmeasure.org|L/h$5|http://unitsofmeasure.org|L/h

Anwendungshinweise: Weitere Informationen zur Suche nach "raterange" finden sich in der FHIR-Basisspezifikation - Abschnitt "composite".
Der Suchparameter "rate-quantity" MUSS unterstützt werden:

Beispiele:

GET [base]/MedicationStatement?rate-quantity=2|http://unitsofmeasure.org|L/h

Anwendungshinweise: Weitere Informationen zur Suche nach "rate-quantity" finden sich in der FHIR-Basisspezifikation - Abschnitt "quantity".
Der Suchparameter "part-of" MUSS unterstützt werden:

Beispiele:

GET [base]/MedicationStatement?part-of=Procedure/example

Anwendungshinweise: Weitere Informationen zur Suche nach "reason-reference" finden sich in der FHIR-Basisspezifikation - Abschnitt "reference".

Beispiele

Beispiel einer MedicationStatement-Ressource, die beschreibt, dass ein Patient eine Medikation einmal alle vier Wochen einnimmt. Die Informationen zur Medikation sind in einer Medication-Ressource zu finden, auf welche referenziert wird.

{
    "resourceType": "MedicationStatement",
    "id": "mii-exa-medikation-medication-statement-caelyx",
    "meta": {
        "security":  [
            {
                "code": "HTEST",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "display": "test health data"
            }
        ],
        "profile":  [
            "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationStatement"
        ]
    },
    "status": "active",
    "medicationReference": {
        "reference": "Medication/mii-exa-medikation-medication-caelyx"
    },
    "subject": {
        "reference": "Patient/example"
    },
    "effectiveDateTime": "2020-01-02T09:30:00+01:00",
    "dosage":  [
        {
            "text": "Doxorubicin (Caelyx) 50 mg je Quadratmeter Koerperoberflaeche alle vier Wochen per intravenoeser Tropfinfusion",
            "timing": {
                "repeat": {
                    "frequency": 1,
                    "period": 4,
                    "periodUnit": "wk"
                }
            },
            "route": {
                "coding":  [
                    {
                        "code": "20045000",
                        "system": "http://standardterms.edqm.eu",
                        "display": "Intravenous use"
                    }
                ]
            }
        }
    ]
}

MedicationStatement-Beispiel mit Offset:

{
    "resourceType": "MedicationStatement",
    "id": "mii-exa-medikation-medication-statement-offset",
    "meta": {
        "security":  [
            {
                "code": "HTEST",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "display": "test health data"
            }
        ],
        "profile":  [
            "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationStatement"
        ]
    },
    "dosage":  [
        {
            "route": {
                "coding":  [
                    {
                        "code": "20053000",
                        "system": "http://standardterms.edqm.eu",
                        "display": "Oral use"
                    }
                ]
            },
            "text": "L-Thyroxin 125 Mikrogramm täglich eine Tablette oral eine halbe Stunde vor dem Früchstück",
            "timing": {
                "repeat": {
                    "frequency": 1,
                    "offset": 30,
                    "period": 1,
                    "periodUnit": "d",
                    "when":  [
                        "ACM"
                    ]
                }
            }
        }
    ],
    "effectiveDateTime": "2020-05-27T17:57:00+01:00",
    "medicationCodeableConcept": {
        "coding":  [
            {
                "code": "02532793",
                "system": "http://fhir.de/CodeSystem/ifa/pzn",
                "display": "L-THYROXIN 125 Henning Tabletten"
            }
        ]
    },
    "status": "active",
    "subject": {
        "reference": "Patient/example"
    }
}

MedicationStatement-Beispiel für periodisches Intervall:

{
    "resourceType": "MedicationStatement",
    "id": "mii-exa-medikation-medication-statement-periodisches-intervall",
    "meta": {
        "security":  [
            {
                "code": "HTEST",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "display": "test health data"
            }
        ],
        "profile":  [
            "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationStatement"
        ]
    },
    "dosage":  [
        {
            "route": {
                "coding":  [
                    {
                        "code": "20053000",
                        "system": "http://standardterms.edqm.eu",
                        "display": "Oral use"
                    }
                ]
            },
            "text": "Marcumar jeden Montag-, Mittwoch- und Freitagabend",
            "timing": {
                "repeat": {
                    "dayOfWeek":  [
                        "mon",
                        "wed",
                        "fri"
                    ],
                    "frequency": 1,
                    "period": 1,
                    "periodUnit": "d",
                    "when":  [
                        "CV"
                    ]
                }
            }
        }
    ],
    "effectiveDateTime": "2020-05-27T17:57:00+01:00",
    "medicationCodeableConcept": {
        "coding":  [
            {
                "code": "05541338",
                "system": "http://fhir.de/CodeSystem/ifa/pzn",
                "display": "Marcumar"
            }
        ]
    },
    "status": "active",
    "subject": {
        "reference": "Patient/example"
    }
}

Beispiel einer MedicationStatement-Ressource abgeleitet vom OPS-Code 6-007.nm: Das MedicationStatement enthält die Referenzen auf Patient, Prozedur und Medikation. Der OPS-Code wird über das Modul Prozedur abgebildet. Die Referenz auf die Procedure-Ressource erfolgt über das MedicationStatement.partOf-Element. Der Vollständigkeit halber sind neben der MedicationStatement-Ressource nachfolgend auch die referenzierten Medication- und Procedure-Ressourcen aufgeführt.

{
    "resourceType": "MedicationStatement",
    "id": "mii-exa-medikation-medication-statement-intravenous-use",
    "meta": {
        "security":  [
            {
                "code": "HTEST",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "display": "test health data"
            }
        ],
        "profile":  [
            "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationStatement"
        ]
    },
    "dosage":  [
        {
            "doseAndRate":  [
                {
                    "doseRange": {
                        "high": {
                            "system": "http://unitsofmeasure.org",
                            "value": 2600,
                            "code": "mg",
                            "unit": "milligram"
                        },
                        "low": {
                            "system": "http://unitsofmeasure.org",
                            "value": 2400,
                            "code": "mg",
                            "unit": "milligram"
                        }
                    }
                }
            ],
            "route": {
                "coding":  [
                    {
                        "code": "20045000",
                        "system": "http://standardterms.edqm.eu",
                        "display": "Intravenous use"
                    }
                ]
            },
            "text": "Parenterale Applikation von 2.400 mg bis unter 2.600 mg Thiotepa"
        }
    ],
    "effectiveDateTime": "2018-05-26",
    "medicationReference": {
        "reference": "Medication/mii-exa-medikation-medication-thiotepa"
    },
    "partOf":  [
        {
            "reference": "Procedure/ExampleProcedure"
        }
    ],
    "status": "completed",
    "subject": {
        "reference": "Patient/example"
    }
}

Die aus dem vorangegangenen MedicationStatement referenzierte Medication-Ressource:

{
    "resourceType": "Medication",
    "id": "mii-exa-medikation-medication-thiotepa",
    "meta": {
        "security":  [
            {
                "code": "HTEST",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "display": "test health data"
            }
        ],
        "profile":  [
            "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/Medication"
        ]
    },
    "ingredient":  [
        {
            "extension":  [
                {
                    "url": "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/wirkstofftyp",
                    "valueCoding": {
                        "code": "IN",
                        "system": "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/CodeSystem/wirkstofftyp",
                        "display": "ingredient"
                    }
                }
            ],
            "itemCodeableConcept": {
                "coding":  [
                    {
                        "code": "905Z5W3GKH",
                        "system": "http://fdasis.nlm.nih.gov",
                        "display": "thiotepa"
                    },
                    {
                        "code": "7962",
                        "system": "http://fhir.de/CodeSystem/ask",
                        "display": "thiotepa"
                    },
                    {
                        "code": "52-24-4",
                        "system": "http://terminology.hl7.org/CodeSystem/CAS",
                        "display": "thiotepa"
                    }
                ]
            }
        }
    ]
}

Die Procedure-Ressource, welche den OPS-Code enthält:

{
    "resourceType": "Procedure",
    "id": "mii-exa-medikation-procedure-thiotepa",
    "meta": {
        "security":  [
            {
                "code": "HTEST",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "display": "test health data"
            }
        ]
    },
    "category": {
        "coding":  [
            {
                "code": "182832007",
                "system": "http://snomed.info/sct",
                "version": "http://snomed.info/sct/900000000000207008/version/20230731",
                "display": "Procedure related to management of drug administration (procedure)"
            }
        ]
    },
    "code": {
        "coding":  [
            {
                "code": "6-007.nm",
                "system": "http://fhir.de/CodeSystem/bfarm/ops",
                "display": "Parenterale Applikation von 2.400 mg bis unter 2.600 mg Thiotepa",
                "version": "2020"
            }
        ]
    },
    "performedDateTime": "2018-05-26",
    "status": "completed",
    "subject": {
        "reference": "Patient/example"
    }
}